Abstract
to establish the epidemiological profile of ostomized patients treated at the Health Care Service for Ostomy Patients in Juiz de Fora and region (SASPO/JF) and to quantify the pathologies that led to the stoma as well as the ostomy-related complications. a retrospective study was carried out with the analysis of 496 medical records of patients registered at HCSOP/JF over 30 years and who remained in at the service in June 2018. The following variables were considered: age, sex, pathology that led to the stoma, type, time, location and complications of stomas. 53.43% were male patients and 46.57% female. The average age was 56.24 years among men and 58.40 years among women. Eight patients had two types of ostomies simultaneously and a total of 504 ostomies were as follows: 340 colostomies (67.46%), 117 ileostomies (23.21%) and 47 urostomies (9.33%). Additionally, 47.65% of the colostomies and 76.92% of the ileostomies were temporary, while all urostomies were permanent. In 70.24% of cases, the reason for making the stoma was malignancy. There were 277 stomas with one or more complications (54.96%). most of the ostomized patients were over 50 years old and the main diagnosis that led to the stoma was malignancy. Ileostomies had a higher percentage of complications than colostomies and urostomies and, for all types of stomas, the most frequent complication was dermatitis.
Highlights
In June 1988, in the city of Juiz de Fora, in the Brazilian State of Minas Gerais, the Ostomy Patient Care Program (PAPO) was implemented, covering populations in the cities of Juiz de Fora, Ubá, Barbacena, and Leopoldina
Among the 340 colostomies, there was a predominance of stomas made terminally and to the left, the majority being permanent
Of the 117 ileostomies, most were made in loop and on the right, with a predominance
Summary
In June 1988, in the city of Juiz de Fora, in the Brazilian State of Minas Gerais, the Ostomy Patient Care Program (PAPO) was implemented, covering populations in the cities of Juiz de Fora, Ubá, Barbacena, and Leopoldina. With the creation of the Brazilian Unified Health System (SUS) by the Federal Constitution of 1988, the right of the ostomy patient to health care become a duty of the State, and must be carried out from the preoperative period until the individual’s reintegration into society[2]. As of 1993, the program had its name changed to Health Care Service for Ostomy Patients (SASPO/JF), taking place at the Department of Specialized Clinics of the Municipality of Juiz de Fora, linked to the Unified Health System (SUS). The service assists patients with elimination urinary (urostomies) and intestinal (ileostomies and colostomies) stomas who reside in the urban and rural areas of the 38 cities in the Juiz de Fora macro-region
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