Construct Validation of an Interactive Digital Algorithm for Ostomy Care

Beitz, Janice M.; Gerlach, Mary A.; Schafer, Vickie

doi:10.1097/01.won.0000438016.75487.cc

Cited by 26 publications

(78 citation statements)

References 2 publications

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“…31 This study's results support the reliability and validity of a new instrument to measure incidence and severity of ostomy complications. The OCSI can be used to identify not only the presence of ostomy complications, but also their severity.…”

Section: Resultssupporting

confidence: 61%

Psychometric Evaluation of the Ostomy Complication Severity Index

Pittman

Bakas

Ellett

et al. 2014

Journal of Wound, Ostomy &Amp; Continence Nursing

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Section: Resultssupporting

confidence: 61%

Psychometric Evaluation of the Ostomy Complication Severity Index

Pittman

Bakas

Ellett

et al. 2014

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…There are many tools available to nurses to facilitate their peristomal skin assessment. Our literature review showed that six are widely used around the world—SACS, OST, ABCD Stoma, LSD score, Stoma Care Ostomy Research Index, and CPS …”

Section: Discussionmentioning

confidence: 99%

“…It emerged that several instruments for peristomal skin evaluation have been tested and described. The most cited are: the Scale for the Classification of Peristomal Skin Disorders (SACS), and SACS 2.0; the Ostomy Skin Tool (OST); the ABCD Stoma; the LSD score; the Stoma Care Ostomy Research Index; and the Classification of Peristomal Skin (CPS) …”

Section: Study Design and Methodsmentioning

confidence: 99%

“…To do so, it is essential to use appropriate tools to assess any peristomal skin variations correctly, but in clinical practice there is paucity of reliable tools for peristomal skin assessment. In Italy, besides the most often used SACS instrument for assessing and classifying peristomal skin lesions, a few other instruments are available; however, nurses valued negatively the practicality and usefulness of such alternative tools . In general, all such tools are covered by a copyright, or owned by medical companies and licensed free of charge to health institutions.…”

Section: Introductionmentioning

confidence: 99%

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Design and validation of a “Peristomal Lesion Scale” for peristomal skin assessment

Menin¹,

Roveron

Barbierato

et al. 2018

International Wound Journal

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Many people in Italy undergo ostomy because of illness, and this can have negative psychological and physical effects. It is estimated that 15%–43% of ostomates suffer from skin complications in the peristomal area. During their life, many ostomates experience at least one peristomal lesion, and they turn to stomal therapy centres where trained nurses provide patient care and manage skin complications. To ensure a good quality of life for patients, and to take prompt action for the prevention and treatment of stomal lesions, it is essential to use appropriate assessment tools. The aim of this study was to develop a reliable peristomal skin assessment tool (Peristomal Lesion Scale [PLS]) for classifying lesions based on their severity; and to compare its validity with the most widely used peristomal tool in Italy, SACS. The new tool was designed by a team of experts, focusing on patients' demographics, clinical characteristics, and classification of the lesions by severity and topography. The results of this comparative validation study indicate that the PLS better discriminates lesions by their severity because of its level of detail, using a standardised terminology, and its completeness. The PLS is a valid tool for use in the daily work of stomal therapists.

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“…In most cases, the status of the peristomal skin lesions was noted clinically and also according to the validated Studio Alterazioni Cutanee Stomali (SACS ™ ) instrument, which was originally developed by wound ostomy continence nurses and surgeons for objective assessment and classification ( Fig. S1) (4,11).…”

Section: Methodsmentioning

confidence: 99%

Stoma care products represent a common and previously underreported source of peristomal contact dermatitis

et al. 2016

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BACKGROUND Peristomal dermatitis is a common complication for the 700000+ patients in the US with an ostomy. The role of stoma skin care products (SSCP) in peristomal dermatitis is poorly understood. OBJECTIVE To evaluate SSCPs as a cause of peristomal dermatitis. METHODS Retrospective chart review of patients with peristomal dermatitis at 4 academic hospitals from Jan 2010 to March 2014. Patient demographics, clinical information, and use test and patch test results were documented. RESULTS 18 patients identified with peristomal dermatitis were tested. The frequency of peristomal contact dermatitis was 12/18. We identified numerous stoma skin care products as triggers of irritant and/or allergic contact dermatitis. The most common stoma skin care product used and/or involved in dermatitis was Cavilon™ No Sting Barrier Film. CONCLUSIONS Our data support a paradigm shift where health care workers treating patients with peristomal dermatitis, currently considered a reaction mainly to bodily fluids, must now consider those products used to protect the skin as potential triggers for this disease. Therefore, patients with peristomal dermatitis should be tested to their stoma skin care agents to determine the need for removing or changing these products. Additionally, full ingredient labeling by manufacturers would help identify new allergens and irritants.

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Construct Validation of an Interactive Digital Algorithm for Ostomy Care

Abstract: The new standardized Ostomy Algorithm remains the only face, content, and construct validated digital clinical decision instrument currently available. Further research on application at the bedside while tracking patient outcomes is warranted.

Cited by 26 publications

References 2 publications

Psychometric Evaluation of the Ostomy Complication Severity Index

Psychometric Evaluation of the Ostomy Complication Severity Index

Design and validation of a “Peristomal Lesion Scale” for peristomal skin assessment

Stoma care products represent a common and previously underreported source of peristomal contact dermatitis

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