Randomized Controlled Study of the Effects of 2 Fecal Management Systems on Incidence of Anal Erosion

Sammon, Mary Ann; Montague, Mary‐Louise; Frame, Fran; Guzman, Deborah; Bena, James; Palascak, Ann; Albert, Nancy M.

doi:10.1097/won.0000000000000128

Cited by 9 publications

(3 citation statements)

References 5 publications

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“…3,[11][12][13][14][15][16] FMSs are also cost-saving, with few to no complications reported in most series. 3,5,17 However, there is a lack of high-quality data describing experiences with FMS use, because the majority of relevant literature consists of small cohorts with <50 patients. [11][12][13][14][15][16] Despite promising initial reports, there have been cases of severe rectal ulceration, fistula formation, and hemorrhage associated with FMS use, highlighting the need to identify risk factors for complications.…”

Section: Incidencia Y Caracterización De Las Complicaciones Rectales ...mentioning

confidence: 99%

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Incidence and Characterization of Rectal Complications From Fecal Management Systems

Kane

Hassinger

et al. 2021

Diseases of the Colon &Amp; Rectum

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BACKGROUND: Fecal management systems have become ubiquitous in hospitalized patients with fecal incontinence or severe diarrhea, especially in the setting of perianal wounds. Although fecal management system use has been shown to be safe and effective in initial series, case reports of rectal ulceration and severe bleeding have been reported, with a relative paucity of clinical safety data in the literature. OBJECTIVE:The purpose of this study was to determine the rate of rectal complications attributable to fecal management systems, as well as to characterize possible risk factors and appropriate management strategies for such complications. DESIGN:This was a retrospective cohort study. SETTINGS:The study was conducted at a large academic medical center.

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Section: Incidencia Y Caracterización De Las Complicaciones Rectales ...mentioning

confidence: 99%

“…3,11–16 FMSs are also cost-saving, with few to no complications reported in most series. 3,5,17 However, there is a lack of high-quality data describing experiences with FMS use, because the majority of relevant literature consists of small cohorts with <50 patients. 11–16…”

mentioning

confidence: 99%

Incidence and Characterization of Rectal Complications From Fecal Management Systems

Kane

Hassinger

et al. 2021

Diseases of the Colon &Amp; Rectum

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“… 8 – 13 Moreover, studies have suggested that prolonged IBC use can lead to anal erosion and anal sphincter dysfunction in some patients. 14 , 15 …”

Section: Introductionmentioning

confidence: 99%

Clinical and Health Economic Evaluation of a Novel Device for Fecal Management in Bedridden Patients

Rao,

Sheth,

Karthik

2023

Indian Journal of Critical Care Medicine

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A bstract Purpose To evaluate the clinical effectiveness and health economic benefits of a novel indwelling lattice-based device for fecal management in bedridden patients. Materials and methods This nonrandomized, two-arm study included 70 bedridden patients (≥18 years exhibiting liquid stool) referred from the ICU of surgery and medicine units of a 2000-bed tertiary care referral hospital, assigned to the intervention and control groups. About 35 patients were eligible to be included in the intervention group while 35 patients with contraindications to the intervention device were included in the usual care control group. Assessments were made before and every 24 hours during the study, and all patients were closely monitored for development of incontinence-associated dermatitis (IAD) and hospital-acquired pressure injury. Results The test device was successfully deployed on the first attempt and effectively diverted fecal matter in all 35 patients, with no adverse events. In the control group, 83% of the patients developed IAD, which resulted in prolonged hospitalization and increased expenses. Overall, the control group (with adult diapers) required greater time, resources, and efforts for fecal management and resulted in increased patient morbidity. Conclusion The patient management time, resource consumption, overall cost of hospital admission, and the complication rates are significantly lower with the use of the novel lattice-based device than with the use of adult diapers for fecal management. How to cite this article Sheth H, Rao S, Karthik V. Clinical and Health Economic Evaluation of a Novel Device for Fecal Management in Bedridden Patients. Indian J Crit Care Med 2023;27(10):759–765.

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Hospital-Acquired Injuries: Device-Related Pressure Ulcers, Falls, and Restraints

Bambi

2018

Nursing in Critical Care Setting

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Randomized Controlled Study of the Effects of 2 Fecal Management Systems on Incidence of Anal Erosion

Cited by 9 publications

References 5 publications

Incidence and Characterization of Rectal Complications From Fecal Management Systems

Incidence and Characterization of Rectal Complications From Fecal Management Systems

Clinical and Health Economic Evaluation of a Novel Device for Fecal Management in Bedridden Patients

Hospital-Acquired Injuries: Device-Related Pressure Ulcers, Falls, and Restraints

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