90-day readmission rates after cholecystectomy : A retrospective cohort study
Copyright: © 2022 Permanyer..
OBJECTIVE: Although readmission after surgical procedures has been recognized as a new problem, its association with cholecystectomy has not been solved. We aimed to investigate the rate of unplanned readmission after cholecystectomy and to evaluate the reasons and outcomes in these patients.
METHODS: All consecutive patients who underwent open and laparoscopic cholecystectomy were retrospectively evaluated. Hospital readmission within the post-operative first 90 days after the procedure was searched. The rate and reasons for hospital readmission were the primary outcomes.
RESULTS: There were 601 patients with a mean age of 53.2 ± 12.4 years. The rate of readmission was 6.16%. Obesity (p = 0.001), number of coexisting disease (p = 0.039), conversion to open surgery (p = 0.002), development of intraoperative complications (p < 0.001), use of drain (p = 0.001), and length of hospital stay > 1 day (p = 0.024) were significantly associated with higher readmission rates. Biliary surgical causes were detected in five patients (12.8%). Non-biliary surgical causes were seen in 34 patients (87.2%). Among these, post-operative pain, nausea, and vomiting were the most common diagnoses in 25 (67.6%) and 5 patients (12.8%).
CONCLUSION: The readmission rate after cholecystectomy is low. Significant predictive factors may help physicians to be alerted during the discharge of the patients. Post-operative pain, nausea, and vomiting were the most common diagnoses.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:90 |
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| Enthalten in: |
Cirugia y cirujanos - 90(2022), S1 vom: 09., Seite 70-76 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Tasas de readmisión de 90 días después de la colecistectomía: un estudio retrospectivo de cohort |
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| Beteiligte Personen: |
Hacim, Nadir A [VerfasserIn] |
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| Links: |
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| Themen: |
90-day readmission |
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| Anmerkungen: |
Date Completed 11.08.2022 Date Revised 11.08.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.24875/CIRU.21000371 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM344634957 |
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| 245 | 1 | 0 | |a 90-day readmission rates after cholecystectomy |b A retrospective cohort study |
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| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright: © 2022 Permanyer. | ||
| 520 | |a OBJECTIVE: Although readmission after surgical procedures has been recognized as a new problem, its association with cholecystectomy has not been solved. We aimed to investigate the rate of unplanned readmission after cholecystectomy and to evaluate the reasons and outcomes in these patients | ||
| 520 | |a METHODS: All consecutive patients who underwent open and laparoscopic cholecystectomy were retrospectively evaluated. Hospital readmission within the post-operative first 90 days after the procedure was searched. The rate and reasons for hospital readmission were the primary outcomes | ||
| 520 | |a RESULTS: There were 601 patients with a mean age of 53.2 ± 12.4 years. The rate of readmission was 6.16%. Obesity (p = 0.001), number of coexisting disease (p = 0.039), conversion to open surgery (p = 0.002), development of intraoperative complications (p < 0.001), use of drain (p = 0.001), and length of hospital stay > 1 day (p = 0.024) were significantly associated with higher readmission rates. Biliary surgical causes were detected in five patients (12.8%). Non-biliary surgical causes were seen in 34 patients (87.2%). Among these, post-operative pain, nausea, and vomiting were the most common diagnoses in 25 (67.6%) and 5 patients (12.8%) | ||
| 520 | |a CONCLUSION: The readmission rate after cholecystectomy is low. Significant predictive factors may help physicians to be alerted during the discharge of the patients. Post-operative pain, nausea, and vomiting were the most common diagnoses | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a 90-day readmission | |
| 650 | 4 | |a Cholecystectomy | |
| 650 | 4 | |a Colecistectomía | |
| 650 | 4 | |a Colecistectomía laparoscópica | |
| 650 | 4 | |a Laparoscopic cholecystectomy | |
| 650 | 4 | |a Patient readmission | |
| 650 | 4 | |a Readmisión de 90 días | |
| 650 | 4 | |a Readmisión de pacientes | |
| 700 | 1 | |a Akbas, Ahmet |e verfasserin |4 aut | |
| 700 | 1 | |a Gullu, Hasim F |e verfasserin |4 aut | |
| 700 | 1 | |a Ulgen, Yigit |e verfasserin |4 aut | |
| 700 | 1 | |a Karabay, Onder |e verfasserin |4 aut | |
| 700 | 1 | |a Meric, Serhat |e verfasserin |4 aut | |
| 700 | 1 | |a Aktokmakyan, Talar V |e verfasserin |4 aut | |
| 700 | 1 | |a Altinel, Yuksel |e verfasserin |4 aut | |
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