Prediction of Patients with Acute Cholecystitis Requiring Emergent Cholecystectomy : A Simple Score
Joint Authors
Chandrasoma, Parakrama
Mason, Rodney J.
Sehgal, Indu
Yacoub, Wael N.
Petrosyan, Mikael
Ma, Yanling
Source
Gastroenterology Research and Practice
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-06-08
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The objective was to develop a score, to stratify patients with acute cholecystitis into high, intermediate, or low probability of gangrenous cholecystitis.
The probability of gangrenous cholecystitis (score) was derived from a logistic regression of a clinical and pathological review of 245 patients undergoing urgent cholecystectomy.
Sixty-eight patients had gangrenous inflammation, 132 acute, and 45 no inflammation.
The score comprised of: age > 45 years (1 point), heart rate > 90 beats/min (1 point), male (2 points), Leucocytosis > 13,000/mm3 (1.5 points), and ultrasound gallbladder wall thickness > 4.5 mm (1 point).
The prevalence of gangrenous cholecystitis was 13% in the low-probability (0–2 points), 33% in the intermediate-probability (2–4.5 points), and 87% in the high probability category (>4.5 points).
A cutoff score of 2 identified 31 (69%) patients with no acute inflammation (PPV 90%).
This scoring system can prioritize patients for emergent cholecystectomy based on their expected pathology.
American Psychological Association (APA)
Yacoub, Wael N.& Petrosyan, Mikael& Sehgal, Indu& Ma, Yanling& Chandrasoma, Parakrama& Mason, Rodney J.. 2010. Prediction of Patients with Acute Cholecystitis Requiring Emergent Cholecystectomy : A Simple Score. Gastroenterology Research and Practice،Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-506576
Modern Language Association (MLA)
Yacoub, Wael N.…[et al.]. Prediction of Patients with Acute Cholecystitis Requiring Emergent Cholecystectomy : A Simple Score. Gastroenterology Research and Practice No. 2010 (2010), pp.1-5.
https://search.emarefa.net/detail/BIM-506576
American Medical Association (AMA)
Yacoub, Wael N.& Petrosyan, Mikael& Sehgal, Indu& Ma, Yanling& Chandrasoma, Parakrama& Mason, Rodney J.. Prediction of Patients with Acute Cholecystitis Requiring Emergent Cholecystectomy : A Simple Score. Gastroenterology Research and Practice. 2010. Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-506576
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-506576