Unplanned readmission and outpatient workup 90-days after cholecystectomy in adults
YĂĽkleniyor...
Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Ă–zet
Aim: The majority of patients with persistent postoperative pain are caused by a change in the indications and timing of
cholecystectomy due to a lack of evidence and different views among surgeons. We purposed to identify the relation of preoperative
patients’ characteristics and postoperative readmission after laparascopic cholecystectomy
Material and Methods: Between June 2015 and June 2018, 710 consecutive patients who were admitted for laparoscopic
cholecystectomy were included in the study. Based on database the following factors were analysed: gender, age, American Society
of Anesthesiologists classification, body mass index, Visual Analog Scale (VAS)-scale prior to operation (intensity of abdominal
pain, scored on a visual score of 0–10), duration of symptoms and existence of abdominal pain.
Results: There were 472 men (66.5%) and 238 women (33.5%). The median age was 51.0 (range 18-79) years. Indications for
laparoscopic cholecystectomy were as follows: choleystolithiasis 452 (63.7%), acute cholecystitis 140 (19.8%), chronic cholecystitis
105 (14.7%) and sludge 13 (1.8%). The following preoperative incidence of dispeptic and colonic symptoms were as: abdominal pain
n=137 (19.3%), nousea n=119 (16.8%), vomiting n=86 (12.1%), heartburn n=79 (11.1%), early satiety 80 (11.3%), bloating n=151 (21.3%),
food intolerance n=62 (8.7%), constipation n=73 (10.3%), diarrhea 60 (8.5%), back pain n=307 (43.2%). Readmission was present in
108 (15.2%) of the 710 patients due to added examination for persistent abdominal pain after laparascopic cholecystectomy. The
cause of readmission were gallstone related (n=16, 2.2%), surgery related (n=7, 1.0%), other diagnosis (n=30, 12.0%), nonspesific
abdominal pain (n=55, 7.7%) respectively. Number of readmission were as follows: 1 (n=59, 54.6%), 2 (n=39, 36.1%), 3 (n=10, 9.3%).
Conclusions: The main causes of readmission were associated with gastrointestinal symptoms other than gallstone or surgery
related. Before accepting patients for cholecystectomy, doctors should discover and help realistic expectations.
Açıklama
Anahtar Kelimeler
Kaynak
Annals of Medical Research
WoS Q DeÄźeri
Scopus Q DeÄźeri
Cilt
Sayı
KĂĽnye
Bayrak, M., & Altintas, Y. (2021). Unplanned readmission and outpatient workup 90-days after cholecystectomy in adults . Annals of Medical Research
