Skip to main content
. 2024 Sep 10;12(18):1805. doi: 10.3390/healthcare12181805
Overall (n = 226) Green Path (n = 35; 15.5% of Total) Yellow Path (n = 128; 56.6% of Total) Red Path
(n = 63; 27.9% of Total)
p ¥
N % N % N % N %
Pre-operative information
Sex
Male 131 58 9 25.7 86 67.2 36 57.1 <0.001
Female 95 42 26 74.3 42 32.8 27 42.9
Age
Years (mean; SD) 65.96 14.97 69.69 13.64 64.79 15.8 66.27 13.75 0.226
BMI
Underweight 19 8.4 2 5.7 11 8.6 6 9.5 0.002
Normal 121 53.5 28 80 71 55.5 22 34.9
Overweight 64 28.3 4 11.4 36 28.1 24 38.1
Obese 22 9.7 1 2.9 10 7.8 11 17.5
Comorbidity
Diabetes 33 14.6 3 8.6 17 13.3 13 20.6 0.219
IBD 16 7.1 2 5.7 6 4.7 8 12.7 0.12
Hematologic disorders 20 8.8 1 2.9 11 8.6 8 12.7 0.256
Cardiovascular Disorders 90 39.8 12 34.3 53 41.4 25 39.7 0.747
Psoriasis 1 0.4 0 0 0 0 1 1.6 0.273
Atopic dermatitis 5 2.2 2 5.7 2 1.6 1 1.6 0.309
Allergic dermatitis 18 8 1 2.9 8 6.3 9 14.3 0.075
Previous treatment
Neoadjuvant Chemotherapy 49 21.7 7 20 32 25 10 15.9 0.343
Radiotherapy 33 14.6 2 5.7 26 20.3 5 7.9 0.02
Any previous surgeries
Yes 77 34.1 12 34.3 41 32 24 38.1 0.708
Type of stoma that was planned
Colostomy 84 37.2 14 40 50 39.1 20 31.7 0.028
Ileostomy 91 40.3 7 20 54 42.2 30 47.6
Urostomy 51 22.6 14 40 24 18.8 13 20.6
A stoma siting was scheduled
Yes 184 81.4 35 100 110 85.9 39 61.9 <0.001
Job types
Sedentary 21 9.3 7 20 8 54.7 6 9.5 0.242
Semi-sedentary 72 31.9 9 25.7 45 27.3 18 28.6
Non-sedentary 47 20.8 5 14.3 29 13.3 13 20.6
Not working 86 38.1 14 40 46 4.7 26 41.3
Sport activity
Never 125 55.3 21 60 70 54.7 34 54 0.517
Rarely 62 27.4 8 22.9 35 27.3 19 30.2
Often 28 12.4 6 17.1 17 13.3 5 7.9
Always 11 4.9 0 0 6 4.7 5 7.9
Baseline risks
% risk of dermatitis
(me; IQR)
18.21 2.37–18.21 2.71 0.60–2.71 12.23 1.63–12.23 89.52 78.18–89.52 <0.001
% risk of itchiness
(me; IQR)
29.46 16.81–29.46 15.15 10.21–15.15 34.52 24.31–34.52 34.52 22.88–34.52 <0.001
% risk of infections
(me; IQR)
5.12 1.30–5.12 4.03 0.93–4.03 4.59 1.02–4.60 5.13 2.48–5.13 0.016
% risk of ulcers
(me; IQR)
20.99 9.1–20.99 9.28 6.65–9.28 18.62 7.27–18.62 46.93 35.57–46.93 <0.001
% average risk of complications (me; IQR) 22.96 14.99–22.96 8.9 7.03–8.96 20.63 16.53–20.63 43.33 38.32–43.33 <0.001
Post-operative (15 days)—
Dermamecum baseline
Scheduled stoma site implemented
Yes 183 81 32 91.4 99 77.3 52 82.5 0.41
Diet
Low residue 60 26.5 16 45.7 40 31.3 4 6.3 <0.001
For ileostomy 72 31.9 7 20 49 38.3 16 25.4
No special diet 68 30.1 7 20 26 20.3 35 55.6
Other 26 11.5 5 14.3 13 10.2 8 12.7
Abdomen profile
Regular 158 69.9 32 91.4 87 68 39 61.9 0.03
Extroflexed 39 17.3 3 8.6 22 17.2 14 22.2
Introflexed 29 12.8 0 0 19 14.8 10 15.9
Physical form of the stoma post-surgery
Extroflexed 57 29.1 8 22.9 42 32.8 7 21.2 0.05
Normal 60 30.6 13 37.1 40 31.3 7 21.2
Low 35 17.9 6 17.1 22 17.2 7 21.2
Flat 25 12.8 8 22.9 12 9.4 5 15.2
Introflexed 19 9.7 0 0 12 9.4 7 21.2
Post-surgical herniation and Prolapse complications
Incisional hernia 7 3.1 2 5.7 5 3.9 0 0 0.213
Prolapse 5 2.2 0 0 5 3.9 0 0 0.141
Hernia 1 0.4 0 0 1 0.8 0 0 0.681
Device
Single-piece device 93 47.4 17 48.6 61 47.7 15 45.5 0.964
Two-piece device 103 52.6 18 51.4 67 52.3 18 54.5
Device baseplate
Flat 82 41.8 16 45.7 51 39.8 12 36.4 <0.001
Traditional convex 109 55.6 7 20 77 60.2 16 48.5
Deep convex 5 2.6 0 0 5 15.2
Baseplate material
Hydrocolloid 148 75.5 32 91.4 97 75.8 19 57.6 0.005
Hydrocolloid plus nonwoven textile 48 24.5 3 8.6 31 24.2 14 42.4
Caregiver support
Full 65 33.2 8 22.9 40 31.3 17 51.5 0.202
Partial 46 23.5 8 22.9 31 24.2 7 21.2
Supervisory 31 15.8 8 22.9 21 16.4 2 6.1
None 54 27.6 11 31.4 36 28.1 7 21.2
Ostomy care products
Paste with alcohol 29 12.8 4 11.4 22 17.2 3 4.8 0.052
Alcohol-free paste 66 29.2 9 25.7 45 35.2 12 19 0.063
Protective film 103 45.6 22 62.9 64 50 17 27 <0.001
Remover utilization 170 75.2 31 88.6 116 90.6 23 36.5 <0.001
Belt 16 7.1 1 2.9 8 6.3 7 11.1 0.267
Rings 10 4.4 1 14.3 8 6.3 1 1.6 0.3
Powder 32 14.2 5 14.3 20 15.6 7 11.1 0.702
Extenders 6 2.7 0 0 2 1.6 4 6.3 0.087
Hygiene
Neutral pH soap 106 46.9 16 45.7 65 50.8 25 39.7 0.348
Acid pH soap 62 27.1 13 37.1 43 33.6 6 9.5 <0.001
Basic pH soap 1 0.4 0 0 1 0.8 0 0 0.681
Non-woven gauze 114 50.4 22 62.9 81 63.3 11 17.5 <0.001
Wet wipes 40 17.7 9 25.7 25 19.5 6 9.5 0.094
Early complications (30 days)
Prevented early complication based on baseline risks
Yes 133 58.8 23 65.7 88 68.8 22 34.9 <0.001
Observed complications (any)
Yes 13 5.9 2 5.7 6 4.7 5 7.9 0.685
Note: Missing = 30; ¥ Benjamini–Hochberg adjustment for the inferential comparisons. Me = median; IQR = interquartile range.