Observational Study to Reduce Readmission and Dehydration Risks in Patients with Elective Ileostomy After Colorectal Surgery

What this Trial Is About

This research aims to assess how well the Dehydration Readmission After Ileostomy Prediction DRIP score is used and how often its recommended care steps are applied to prevent dehydration and hospital readmissions in patients who have an ileostomy after elective colorectal surgery. The study focuses on patients at risk of dehydration, a common complication after ileostomy due to fluid loss through the stoma, which can lead to serious health issues and readmission. The study is prospective and observational, involving multiple Italian colorectal surgical centers. Patients undergoing ileostomy creation after elective colorectal resection will be observed for adherence to the DRIP scoring system and its preventive care protocol. The DRIP score categorizes patients into five risk levels from very low to very high, guiding different interventions such as pre-discharge education, intravenous fluids at home, antidiarrheal medications, nursing follow-up, phone check-ins, and outpatient visits with blood tests. Data collection will occur from May 2025 to April 2026, with a six-month follow-up period. Participants will have their clinical data recorded, including stoma care details, hydration status, creatinine levels, and post-discharge care measures. Researchers will track the application of DRIP scores, adherence to care strategies, and readmission rates at 30, 90, and 180 days. Data will be entered securely and analyzed to identify factors influencing readmission and dehydration. The study aims to improve patient outcomes by optimizing dehydration prevention and reducing hospital readmissions after ileostomy surgery.

Readmission and Dehydration Prevention in Patients With Elective Ileostomy