Acute Cholecystitis
Conditions
Keywords
acute cholecystitis, aged, cholecystectomy
Brief summary
The goal of this retrospective cohort observational study is to learn about the long-term and short-term effects of cholecystectomy in people aged 80 or over the age of 80, who have mild to moderate acute cholecystitis. The main question it aims to answer is: Does cholecystectomy bring harm or benefit to people aged 80, or over the age of 80, who have mild to moderate acute cholecystitis? People who received cholecystectomy are compared to those who did not, for short- and long-term outcomes, with a follow up period for 18 months.
Detailed description
All data were collected from Shuang-Ho Hospital electronic medical record.
Interventions
PROCEDURECholecystectomy
Cholecystectomy, whether open or laparoscopic
Sponsors
Taipei Medical University Shuang Ho Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
80 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Acute cholecystitis patients aged 80 years or older
Exclusion criteria
* Grade III acute cholecystitis * Concurrent cholangitis, common bile duct stones, pancreatitis, gallbladder cancer, hepatocellular carcinoma, periampullary cancer * Received other operations at the same admission other than cholecystectomy * Discharged against advice of physician * Received further management at another hospital for acute cholecystitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In-hospital mortality | From admission to discharge, average 8 days, minimal 2 days, maximal 51 days | Expired during admission |
| 30-day mortality | 30 days since discharge | Expired within 30 days since discharge |
| Hospital return rate | 18 months after discharge | Rate of return to emergency room or readmission after discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Outpatient department follow up frequency | 18 months after discharge | How many times has the person visited the outpatient department since discharge due to gallstone related disease or post cholecystectomy |
| Hospital length of stay | From admission to discharge, average 8 days, minimal 2 days, maximal 51 days | Period of hospitalization |
| Outpatient department follow up duration | 18 months after discharge | Period of the last visit to the outpatient department due to gallstone related disease or post cholecystectomy, since discharge |
| Intensive care unit length of stay | From admission to discharge, average 8 days, minimal 2 days, maximal 51 days | How long has the person been admitted to the intensive care unit |
| Intensive care unit admission frequency | From admission to discharge, average 8 days, minimal 2 days, maximal 51 days | How many times have the person been admitted to the intensive care unit |
Countries
Taiwan
Outcome results
None listed