Skin Problems in Ostomy Patients : A Case-control Study of Risk Factors

Skin complications are frequent in ostomy patients and a number of risk factors have been suggested. The data on risk factors have, however, been documented mainly in single-centre studies and the actual importance of the suggested risk factors should therefore be verified in a group of ostomy patie...

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Veröffentlicht in:Acta dermato-venereologica 2009, Vol.89 (1), p.64-67
Hauptverfasser: NYBAEK, Hanne, KNUDSEN, Dorte Bang, LAURSEN, Troels Nørgaard, KARLSMARK, Tonny, JEMEC, Gregor B. E
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Sprache:eng
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Zusammenfassung:Skin complications are frequent in ostomy patients and a number of risk factors have been suggested. The data on risk factors have, however, been documented mainly in single-centre studies and the actual importance of the suggested risk factors should therefore be verified in a group of ostomy patients broadly selected from the gene-ral population. All patients with permanent ostomies living in Roskilde County, Denmark, were invited to participate in the study. A total of 338 responded and 199 agreed to participate. Forty-five percent of all patients presented a skin problem. Less than half (43%) of patients with a skin problem were aware of the skin problems, and less than 1 in 5 (16%) had sought treatment for their skin problem. Ileostomies, ostomies with leakage and ostomies in patients with body mass index >30 were associated with skin problems. In conclusion, ileostomy, leakage and obesity predisposed patients to peristomal skin problems. Other suggested risk factors appear to be weak or insignificant. Patients under-report the presence of peristomal skin problems and therefore it is suggested that they need to be assessed by a professional on a routine basis in order to avoid or better manage peristomal skin complications.
ISSN:0001-5555
1651-2057
DOI:10.2340/00015555-0536