TEXTBOOK OUTCOMES OF EMERGENCY CHOLECYSTECTOMIES IN ELDERLY PATIENTS

IS THERE A DIFFERENCE IN TEXTBOOK OUTCOMES OF EMERGENCY CHOLECYSTECTOMY IN ELDERLY PATIENTS COMPARED TO OTHERS

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06743217

Enrollment

212

Registered

2024-12-19

Start date

2024-09-01

Completion date

2024-09-15

Last updated

2024-12-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Cholecystitis

Keywords

Acute Cholecystitis, Textbook Outcome, Emergency Surgery

Brief summary

Textbook outcome is a measure used to assess the quality of surgical practice. The goal of this observational study is to compare textbook outcomes of elderly patients (≥65 years) in emergency cholecystectomies with younger patients(<65 years ) via using aforementioned criteria

Detailed description

Textbook outcome is a measure used to assess the quality of surgical practice and has been implemented in various areas of surgical literature. It is defined as an uneventful operative and postoperative period that leads to successful surgery without negative outcomes. There is still no consensus on the textbook outcome concept for emergency cholecystectomy. SPRIMACC Collaborative Study has presented and offered a list of textbook outcome criteria. Their proposal was: no 30-day mortality, no 30-day postoperative complications (any CD≥I is considered non-TO), no readmission within 30 days, and hospital stay≤7 days (75th percentile) and full laparoscopic surgery. The goal of this observational study is to compare textbook outcomes of elderly patients (≥65 years) in emergency cholecystectomies with younger patients(<65 years ) via using aforementioned criteria

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* All patients underwent emergency cholecystectomy with a diagnosis of acute choleystitis

Exclusion criteria

* Patients underwent open surgery directly. Patients diagnosed as malignant postoperatively in the pathology report

Design outcomes

Primary

Measure	Time frame	Description
Textbook Outcome	30 days	The Textbook Outcome criteria for emergency cholecystectomy in this study were patients have these criteria: no 30-day mortality, no 30-day postoperative complications, no readmission within 30 days, hospital stay≤7 days and full laparoscopic surgery

Secondary

Measure	Time frame	Description
Subtotal cholecystectomy	1 day	Patients underwent emergency surgery with a diagnosis of acute cholecystitis and subtotal cholecystectoym performed
Postoperative Serious Complications	30 days	Postoperative complications that have a Clavien-Dindo Score ≥3 were accepted as serious complication.

Countries

Turkey (Türkiye)

Outcome results