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Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013
Joint Authors
Hayasaki, Aoi
Takahashi, Koji
Fujii, Takehiro
Kumamoto, Koji
Fujii, Koji
Matsumoto, Eiichi
Miyahara, Shigeki
Kusuta, Tsukasa
Isaji, Shuji
Azumi, Yoshinori
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-28
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Purpose.
To identify significant independent preoperative factors influencing postoperative hospital stay (PHS) and medical costs (MC) in 171 patients who underwent cholecystectomy for benign gallbladder diseases and had definite, suspected, or unmatched acute cholecystitis (AC) diagnosis according to the Tokyo Guidelines 2013 (TG13).
Methods.
The 171 patients were classified according to the combination of diagnostic criteria including local signs of inflammation (A), systemic signs of inflammation (B), and imaging findings (C): A+ B+ C (definite diagnosis, n=84), A+ B (suspected diagnosis, n=25), (A or B) + C (n=10), A (n=41), and B (n=11).
Results.
The A+ B + C and (A or B) + C groups had equivalent PHS and MC, suggesting that imaging findings were essential for AC diagnosis.
PHS and MC were significantly increased in the order of severity grades based on TG13.
Performance status (PS), white blood cell count, and severity grade were identified as preoperative factors influencing PHS by multivariate analysis, and significant independent preoperative factors influencing MC were age, PS, preoperative biliary drainage, hospital stay before surgery, albumin, and severity grade.
Conclusion.
PS and severity grade significantly influenced prolonged PHS and increased MC.
American Psychological Association (APA)
Hayasaki, Aoi& Takahashi, Koji& Fujii, Takehiro& Kumamoto, Koji& Fujii, Koji& Matsumoto, Eiichi…[et al.]. 2016. Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1104786
Modern Language Association (MLA)
Hayasaki, Aoi…[et al.]. Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-10.
https://search.emarefa.net/detail/BIM-1104786
American Medical Association (AMA)
Hayasaki, Aoi& Takahashi, Koji& Fujii, Takehiro& Kumamoto, Koji& Fujii, Koji& Matsumoto, Eiichi…[et al.]. Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1104786
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104786