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Session:: ePosters-Sun130-M8: Benign Abdominal

EP527 - The Utilization of an Educational Brochure to Decrease Readmissions for High Stoma Output

Sunday, May 10, 2026
2:13 PM - 2:18 PM ET

    ePoster Presenter(s)

  • Julia Liu, BA

    Student
    SKMC at Thomas Jefferson University
    SKMC at Thomas Jefferson University
    Philadelphia, PA, United States

    Disclosure information not submitted.

    • Author(s)

  • CL

    Cara Lescott, MD

    Resident
    Thomas Jefferson University Hospital
    Philadelphia, Pennsylvania, United States

    Disclosure information not submitted.

  • GI

    Gerald Isenberg, MD

    Professor of Surgery
    Sidney Kimmel Medical College
    Philadelphia, Pennsylvania, United States

    Disclosure information not submitted.

    • Author(s)

  • Allison Doermann, MD (she/her/hers)

    Physician Resident
    Thomas Jefferson University Hospital
    Philadelphia, PA, United States

    Disclosure information not submitted.

    • Author(s)

  • BP

    Benjamin Phillips, MD, FACS, FACRS

    Chief, Division of Colorectal Surgery
    Thomas Jefferson University Hospital
    Philadelphia, Pennsylvania, United States

    Disclosure information not submitted.

    • Senior Author(s)

  • JM

    Jennifer L. Miller-Ocuin, MD, FACS

    Associate Professor of Surgery
    Thomas Jefferson University
    Philadelphia, Pennsylvania, United States

    Disclosure information not submitted.

Purpose/Background: With around 115,000 stomas created per year in the US, stoma creation is an essential procedure in the surgical management of a variety of pathologies from perforated diverticulitis to colorectal cancer. A stoma disrupts the natural absorptive process of the GI tract and can increase fluid and electrolyte loss in patients. High-output stoma (HOS) is a significant postoperative complication among these patients, leading to early readmission rates between 12.9% and 43%. Given these high rates of readmissions at our institution, we implemented the use of an educational brochure in hopes of decreasing the occurrence of this complication. Our research team sought to determine whether this brochure had a significant impact on readmissions.

Methods/Interventions: An educational brochure with information concerning findings warranting clinical evaluation and a stoma output log (see attached) were developed. Data for ostomy 541 patients prior to educational intervention was collected from 2020-2025 Jefferson NSQIP database. Data collected included readmissions, operation name and date, and post operative complications. All patients with a new stoma (patients 18 and over, native English speakers) were given this brochure starting July 1, 2025. Data extracted from EMR for this cohort included procedure details, demographic data, and readmission rates.

Results/Outcomes: In the NSQIP database cohort of 541 patients, 58 patients (11%) had readmission within 30 days with 35 of them attributed to the primary procedure. By comparison, none of the 22 patients (0%) given the brochure had readmissions within 30 days. 2 patients given the brochure were still in their index hospital admission at the time of abstract writing.

Conclusion/Discussion: Our project is still in the early stages, but the first patients in the cohort given brochures have not had any readmissions thus far. Our team will continue to follow these patients for the next few months and the cohort will also continue to increase as we give out more brochures. Our hope is that this educational intervention decreases our hospital's readmission rates for complications related to ostomy output.

Educational Brochure
Output Log