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Adult patients without prior history of ostomy, undergoing elective surgery involving a new ileostomy or colostomy will be randomized to receive standard ostomy nurse teaching or ostomy nurse teaching combined with preoperative and postoperative stoma care teaching video. Post operative outcomes including delay in discharge and stoma-related complications will be tracked.
Adult patients without prior history of ostomy, undergoing surgery involving a new ileostomy or colostomy will be randomized to receive standard ostomy nurse teaching or ostomy nurse teaching combined with preoperative and postoperative stoma care teaching video. Patients will be consented and randomized at the time of preoperative clinic visit. All patients will receive standard preoperative ostomy teaching materials and education from the surgeon and clinic nurse. Patients randomized to the treatment arm will receive additional take-home teaching materials based on the American College of Surgeons Ostomy Teaching videos.
After post-operative inpatient ostomy-nurse teaching, and prior to discharge from the hospital, patients will fill out a survey detailing their level of comfort with various aspects of ostomy home care. Patients in the treatment arm will be be asked to review the ostomy teaching videos and fill out the survey prior to discharge. Primary outcome will be delay in discharge from hospital due to stoma-teaching related issues. Secondary outcomes will include rate of calls to the clinic for stoma-related questions, stoma-related clinic/urgent care/emergency department visits, and stoma-related complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Active Comparator | Standard preoperative and postoperative stoma teaching including ostomy nurse teaching and educational materials |
|
| Treatment | Experimental | Ostomy care educational video combined with standard preoperative and postoperative stoma teaching including ostomy nurse teaching and educational materials |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ostomy Education Video | Other | Ostomy education video in addition to standard ostomy education including preoperative and postoperative ostomy nurse teaching and educational materials |
| Measure | Description | Time Frame |
|---|---|---|
| Delay in hospital discharge | Delay in hospital discharge due to need for additional ostomy teaching | through initial inpatient hospital stay: an average of 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Length of stay | overall length of inpatient hospitalization | through initial inpatient hospital stay: an average of 5 days |
| Hospital Readmission | rate of readmission to hospital after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kasim L Mirza, MD | Contact | 323-865-3690 | kasim.mirza@med.usc.edu | |
| Carey Wickham, MD | Contact | 323-865-3690 | carey.wickham@med.usc.edu |
| Name | Affiliation | Role |
|---|---|---|
| Sang W Lee, MD | University of Southern California | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Southern California | Recruiting | Los Angeles | California | 90033 | United States |
No plan to share IPD
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Randomized controlled trial
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| Control - Standard ostomy education | Other | Standard ostomy education including preoperative and postoperative ostomy nurse teaching and educational materials |
|
| within 30 days, and within 30-60 days postoperatively |
| Phone Calls | Number of phone calls to surgical team after discharge | within 60 days of discharge |
| Clinic/Urgent Care/Emergency Department visits | number of Clinic/Urgent Care/Emergency Department visits | within 60 days of discharge |