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| 1 | Operative complications and economic outcomes of cholecystectomy for acute cholecystitis显示文摘BACKGROUND Recent management of acute cholecystitis favors same admission(SA)or emergent cholecystectomy based on overall shorter hospital stay and therefore cost savings.We adopted the practice of SA cholecystectomy for the treatment of acute cholecystitis at our tertiary care center and wanted to evaluate the economic benefit of this practice.We hypothesized that the existence of complications,particularly among patients with a higher degree of disease severity,during SA cholecystectomy could negate the cost savings.AIM To compare complication rates and hospital costs between SA vs delayed cholecystectomy among patients admitted emergently for acute cholecystitis.METHODS Under an IRB-approved protocol,complications and charges for were obtained for SA,later after conservative management(Delayed),or elective cholecystectomies over an 8.5-year period.Patients were identified using the acute care surgery registry and billing database.Data was retrieved via EMR,operative logs,and Revenue Cycle Operations.The severity of acute cholecystitis was graded according to the Tokyo Guidelines.TG18 categorizes acute cholecystitis by Grades 1,2,and 3 representing mild,moderate,and severe,respectively.Comparisons were analyzed withχ2,Fisher’s exact test,ANOVA,ttests,and logistic regression;significance was set at P<0.05.RESULTS Four hundred eighty-six(87.7%)underwent a SA while 68 patients(12.3%)received Delayed cholecystectomy.Complication rates were increased after SA compared to Delayed cholecystectomy(18.5%vs 4.4%,P=0.004).The complication rates of patients undergoing delayed cholecystectomy was similar to the rate for elective cholecystectomy(7.4%,P=0.35).Mortality rates were 0.6%vs 0%for SA vs Delayed.Patients with moderate disease(Tokyo 2)suffered more complications among SA while none who were delayed experienced a complication(16.1%vs 0.0%,P<0.001).Total hospital charges for SA cholecystectomy were increased compared to a Delayed approach($44500±$59000 vs$35300±$16700,P=0.019).The relative risk of developing a complication was 4.2x[95%confidence interval(CI):1.4-12.9]in the SA vs Delayed groups.Among eight patients(95%CI:5.0-12.3)with acute cholecystitis undergoing SA cholecystectomy,one patient will suffer a complication.CONCLUSION Patients with Tokyo Grade 2 acute cholecystitis had more complications and increased hospital charges when undergoing SA cholecystectomy.This data supports a selective approach to SA cholecystectomy for acute cholecystitis. | Christopher P Rice Krishnamurthy B Vaishnavi Celia Chao Daniel Jupiter August B Schaeffer Whitney R Jenson Lance W Griffin William J Mileski | 2019 | World Journal of Gastroenterology2019，25，48： | 8 |
| 2 | Gastroenteropancreatic neuroendocrine tumours显示文摘 | Irvin M Modlin Kjell Oberg Daniel C Chung Robert T Jensen Wouter W de Herder Rajesh V Thakker Martyn Caplin Gianfranco Delle Fave Greg A Kaltsas Eric P Krenning Steven F Moss Ola Nilsson Guido Rindi Ramon Salazar Philippe Ruszniewski Anders Sundin | 2008 | Lancet Oncology2008，，1： | 8 |
| 3 | 显示文摘 | Péter Antal Torok Gabriella Armstrong Daniel W | 2000 | Journal of Chromatography A2000，904，： | 2 |
| 4 | Review multiple sequence alignment in phylogenetic analysis显示文摘 | Aloysius P Daniel J Ward W | 2000 | Molecular Phylogenetics and Evolution2000，16，3： | 1 |
| 5 | Some perspectives on the geography of services 显示文摘 | Daniels P W | 1989 | progress in Human Geography1989，，3： | 1 |
| 6 | Controlling eutrophication: Nitrogen and phosphorus显示文摘 | Daniel J C Hans W P Robert W H | 2009 | Science2009，323，20： | 1 |
| 7 | Producer services research in the United Kingdom显示文摘 | DANIELS P W | 1995 | Professional Geography1995，，： | 1 |
| 8 | Assessing Relationships Among Strategic Types,Distinctive Marketing Competencies and Organizational Performance显示文摘 | Arch G W Daniel P S Randolph J T | 1999 | Journal of Business research1999，，45： | 1 |
| 9 | Supertree algorithms for ancestral divergence dates and nested taxa显示文摘 | Semple C Daniel P Hordijk W | 2004 | Bioinformatics2004，20，： | 1 |
| 10 | Use of water quality indices to verify the impact of Cordoba City(Argentima) on Suquia River显示文摘 | Silvia F P Daniel A W | 2001 | Wat Res2001，34，11： | 1 |
| 11 | Classifying music audio with fimbral and Chroma features显示文摘 | Daniel P W Ellis | 2007 | Austrian Computer Society2007，，： | 1 |
| 12 | Generalized quadratic stability for perturbated singular systems显示文摘 | Lu G P Daniel W C Ho Yeung L F | 2006 | IEEE Transactions on Automatic Control2006，51，： | 1 |
| 13 | Tolerance of 4-amino salicylic acid enemas in patients with inflammatory bowel disease and 5-amino salicylic-induced acute pan creatitis 显示文摘 | DANIEL F SEKSIK P CACHEUX W | 2004 | Inflamm Bowel Dis2004，10，3： | 1 |
| 14 | Fundamental limits of performance for force reflecting teleoperation 显示文摘 | McAree P R | 1998 | International Journal of Robotics Research1998，17，8： | 1 |
| 15 | The early diagnosis of transient osteoporosis by magnetic resonance imaging: A case report显示文摘 | DANIEL W W SANDERS P C ALARCcóN G S | 1992 | J Bone Joint Surg1992，74，8： | 1 |
| 16 | Tillage effects on soil properties and crop production in the sub-humid and semiarid Argentinean Pampas 显示文摘 | Daniel E B Jose L P Paul W U | 1998 | Soil & Tillage Res1998，49，： | 1 |
| 17 | Office Location in Austra- lian Metropolitan Areas: Centra-lization or Dispersal?显示文摘 | Daniels P W | 1986 | Australian Geographical Studies1986，，1： | 1 |
| 18 | Controlling eu- trophication : nitrogen and phosphorus 显示文摘 | DANIEL J C HANS W P ROBERT W H | 2009 | Science2009，323，： | 1 |
| 19 | On learning conditional random fields for stereo:exploring model struc- tures and approximate inference 显示文摘 | Christopher J P Jerod J W Lain C T Daniel S | 2012 | International Journal of Computer Vision2012，99，3： | 1 |
| 20 | Role of the medicalhome in family-centered early intervention services显示文摘 | Lipkin P H Daniel J Desch L W | 2007 | Pediatrics2007，120，5： | 1 |
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