Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society · 2025
Effects of Care Provided by a Wound, Ostomy, and Nurse Team on Hospital Readmission Rates Among Pediatric Patients with Complex Wounds and Ostomies.
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Caro Rachel, Jimenez Eileen
Аннотация
PURPOSE: The purpose of the study was to evaluate the effect of a wound, ostomy, and continence (WOC) nurse team on hospital readmissions in infants and children discharged from hospital with a complex wound or ostomy.
DESIGN: Descriptive correlational design based on retrospective chart review.
SUBJECTS AND SETTING: Inclusion criteria for the study were children (newborn to 18 years of age) admitted to hospital and discharged with a complex wound or ostomy. Thirty-day hospital readmission rates were compared for patients (N = 123) who were provided outpatient care by a WOC nurse team (n = 60) and those who did not receive care by the WOC team (n = 63).
METHODS: Data were collected via retrospective review of medical records. Hospital readmissions for patients with access to a wound and ostomy team were compared to those without access.
RESULTS: Pediatric patients seen by a wound and ostomy team had significantly fewer readmissions to hospital when compared to patients not seen by a wound and ostomy team (P = 0.002). However, comparison of readmission rates for reasons attributed to complications related to a chronic wound or ostomy did not reach statistical significance (P = 0.244).
CONCLUSION: Study findings suggest that services provided by a WOC nurse team improve all cause 30-day hospital readmission rates.
DESIGN: Descriptive correlational design based on retrospective chart review.
SUBJECTS AND SETTING: Inclusion criteria for the study were children (newborn to 18 years of age) admitted to hospital and discharged with a complex wound or ostomy. Thirty-day hospital readmission rates were compared for patients (N = 123) who were provided outpatient care by a WOC nurse team (n = 60) and those who did not receive care by the WOC team (n = 63).
METHODS: Data were collected via retrospective review of medical records. Hospital readmissions for patients with access to a wound and ostomy team were compared to those without access.
RESULTS: Pediatric patients seen by a wound and ostomy team had significantly fewer readmissions to hospital when compared to patients not seen by a wound and ostomy team (P = 0.002). However, comparison of readmission rates for reasons attributed to complications related to a chronic wound or ostomy did not reach statistical significance (P = 0.244).
CONCLUSION: Study findings suggest that services provided by a WOC nurse team improve all cause 30-day hospital readmission rates.