The Relationship Between Waiting Time for Elective Cholecystectomy and Emergency Admission in KFMMC: Single Centre Experience

IF 0.2 4区医学 Q4 SURGERY

International surgery Pub Date : 2021-01-01 DOI:10.9738/intsurg-d-18-00027.1

Emad M. Al-Osail, M. Bshait, Hassan Alyami, Eman Zakarnah, Mohammed A. Alaklabi, M. Y. Taha

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引用次数: 0

Abstract

Patients with symptomatic cholelithiasis may undergo cholecystectomy, as an emergency or elective, in the outpatient clinic after discharge from the emergency department (ED). Increasing waiting times for elective cholecystectomy may lead to multiple ED visits for pain management or admission for emergency cholecystectomy. The aim of our study was to determine the relationship between waiting time for elective cholecystectomy and emergency admission. This retrospective, observational study was designed and conducted at a single institution. The medical records of 239 patients with gallstone diseases who underwent emergency or elective cholecystectomy between January 2013 to November 2017 were obtained from the clinic. Approximately 76% (182/239) of the study participants underwent elective cholecystectomy and ∼24% (57/239) visited the ED during their waiting period, of which 42% (24/57) proceeded with emergency cholecystectomy during the waiting time for elective cholecystectomy and the remaining 58% (33/57) were managed in the ED and eventually underwent elective cholecystectomy. A waiting period of 60 days or more increased the risk of emergency cholecystectomy 5.21 times compared to a waiting period of less than 60 days. A waiting period of 31 to 180 days and above increased the chances of emergency cholecystectomy 4.13 (risk ratio) times and 25.5 (risk ratio) times, respectively, compared to a waiting period of 30 days or less. Waiting time for elective cholecystectomy should be less than 30 days to reduce the risk of emergency cholecystectomy and multiple ED visits.

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KFMMC择期胆囊切除术的等待时间与急诊入院的关系：单中心经验

有症状的胆结石患者可以在急诊科（ED）出院后在门诊进行胆囊切除术，作为急诊或选择性手术。择期胆囊切除术等待时间的增加可能导致多次急诊就诊以进行疼痛管理或急诊胆囊切除术。我们研究的目的是确定择期胆囊切除术的等待时间与急诊入院之间的关系。这项回顾性观察性研究是在一家机构设计和进行的。2013年1月至2017年11月期间，239名胆囊结石患者接受了急诊或选择性胆囊切除术。约76%（182/239）的研究参与者接受了选择性胆囊切除术，约24%（57/239。与不到60天的等待期相比，60天或更长的等待期会使紧急胆囊切除术的风险增加5.21倍。与30天或更短的等待期相比，31至180天及以上的等待期分别增加了4.13次（风险比）和25.5次（危险比）紧急胆囊切除术的机会。择期胆囊切除术的等待时间应少于30天，以降低急诊胆囊切除术和多次急诊就诊的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International surgery 医学-外科

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： International Surgery is the Official Journal of the International College of Surgeons. International Surgery has been published since 1938 and has an important position in the global scientific and medical publishing field. The Journal publishes only open access manuscripts. Advantages and benefits of open access publishing in International Surgery include: -worldwide internet transmission -prompt peer reviews -timely publishing following peer review approved manuscripts -even more timely worldwide transmissions of unedited peer review approved manuscripts (“online first”) prior to having copy edited manuscripts formally published. Non-approved peer reviewed manuscript authors have the opportunity to update and improve manuscripts prior to again submitting for peer review.