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Predicting the risk of readmission from dehydration after ileostomy formation: The Dehydration Readmission After Ileostomy Prediction Score

Diseases of the Colon and Rectum Nov 20, 2018

Chen SY, et al. - As dehydration is the leading cause of readmission in patients undergoing ileostomy formation, researchers sought to develop and validate the Dehydration Readmission After Ileostomy Prediction scoring system to predict the risk of readmission for dehydration after ileostomy formation. Using the American College of Surgeons National Surgical Quality Improvement Program data set (2012–2015), they analyzed patients who underwent ileostomy formation and identified 7 predictors with points assigned: ASA class III (4 points), female sex (5 points), IPAA (4 points), age ≥65 years (5 points), shortened length of stay (5 points), ASA class I to II with IBD (7 points), and hypertension (9 points). A 39-point, 5-tier risk category scoring system was thus developed that proved to be a validated scoring system identifying patients at risk for dehydration readmission after ileostomy formation. It seemed to be a specific approach for optimizing patient factors, implementing interventions, and preventing readmissions.
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