Charlson Comorbidity Index as a Predictor of Difficult Cholecystectomy in Patients With Acute Cholecystitis.
| Autor: | Alburakan AA; Trauma and Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., Abdullah Alshammari S; Division of General Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., Saud AlOtaibi W; Division of General Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., Hamad Almalki J; Department of Radiology, King Faisal Hospital and Research Center, Riyadh, SAU., Shalhoub MM; Trauma and Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., Nouh TA; Trauma and Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Nov 22; Vol. 14 (11), pp. e31807. Date of Electronic Publication: 2022 Nov 22 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.31807 |
| Abstrakt: | Background The Charlson Comorbidity Index (CCI) has been validated as a predictor of overall survival and post-surgical mortality. CCI is adopted by Tokyo Guidelines as one of the main criteria in the management of acute cholecystitis. Our study evaluates the role of CCI in predicting difficult cholecystectomy. Methods All patients who underwent cholecystectomy for acute cholecystitis between January 2017 and September 2019 were included. CCI, Emergency Surgery Score (ESS), and American Society of Anesthesiologists (ASA) score were calculated and analyzed to assess their predictive value for difficult cholecystectomy. Results A total of 96 patients were included and allocated to difficult and non-difficult cholecystectomy groups. CCI was found to be a significant predictor of difficult cholecystectomy (OR 1.59; 59% CI, 1.04. 2.42; p= 0.031). Similarly, ESS was found to be a predictor tool of difficult cholecystectomy (OR 1.42; 59% CI, 1.05. 1.93; p= 0.024). There was no significant difference in adverse outcomes between the two groups. Conclusion CCI was able to predict a difficult cholecystectomy in our study population. However further studies are required to evaluate if it can be used as a predictor of adverse outcomes in the context of acute cholecystitis. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Alburakan et al.) |
| Databáze: | MEDLINE |
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