Skin problems in ostomy patients: a case-control study of risk factors

Hanne Nybaek; Dorte Bang Knudsen; Troels Nørgaard Laursen; Tonny Karlsmark; Gregor B E Jemec

doi:10.2340/00015555-0536

Skin problems in ostomy patients: a case-control study of risk factors

Hanne Nybaek, Dorte Bang Knudsen, Troels Nørgaard Laursen, Tonny Karlsmark, Gregor B E Jemec

34 Citations (Scopus)

Abstract

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.

Original language	English
Journal	Acta Dermato Venereologica
Volume	89
Issue number	1
Pages (from-to)	64-7
Number of pages	4
ISSN	0001-5555
DOIs	https://doi.org/10.2340/00015555-0536
Publication status	Published - 2009

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title = "Skin problems in ostomy patients: a case-control study of risk factors",

abstract = "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.",

author = "Hanne Nybaek and {Bang Knudsen}, Dorte and {N{\o}rgaard Laursen}, Troels and Tonny Karlsmark and Jemec, {Gregor B E}",

note = "Keywords: Adult; Aged; Aged, 80 and over; Body Mass Index; Cross-Sectional Studies; Female; Humans; Ileostomy; Male; Middle Aged; Obesity; Ostomy; Postoperative Complications; Risk Factors; Skin Diseases Times Cited: 1ArticleEnglishNybaek, HUniv Copenhagen, Roskilde Hosp, Dept Dermatol, Fac Hlth Sci, Koegevej 7-13, DK-4000 Roskilde, DenmarkCited References Count: 21396AFACTA DERMATO-VENEREOLOGICATRADGARDSGATAN 14, UPPSALA, SE-753 09, SWEDENUPPSALA",

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AU - Nybaek, Hanne

AU - Bang Knudsen, Dorte

AU - Nørgaard Laursen, Troels

AU - Karlsmark, Tonny

AU - Jemec, Gregor B E

N1 - Keywords: Adult; Aged; Aged, 80 and over; Body Mass Index; Cross-Sectional Studies; Female; Humans; Ileostomy; Male; Middle Aged; Obesity; Ostomy; Postoperative Complications; Risk Factors; Skin Diseases Times Cited: 1ArticleEnglishNybaek, HUniv Copenhagen, Roskilde Hosp, Dept Dermatol, Fac Hlth Sci, Koegevej 7-13, DK-4000 Roskilde, DenmarkCited References Count: 21396AFACTA DERMATO-VENEREOLOGICATRADGARDSGATAN 14, UPPSALA, SE-753 09, SWEDENUPPSALA

PY - 2009

Y1 - 2009

N2 - 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.

AB - 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.

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Skin problems in ostomy patients: a case-control study of risk factors

Abstract

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