| Autor: |
Federico Coccolini, Campanati L, Marco Ceresoli, Falcone C, M. Pisano |
| Rok vydání: |
2014 |
| Předmět: |
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| Zdroj: |
Emergency Medicine: Open Access. |
| ISSN: |
2165-7548 |
| DOI: |
10.4172/2165-7548.1000201 |
| Popis: |
The treatment and the correct management of acute calcolous cholecystitis (ACC), despite the presence of several studies, meta-analysis and guidelines are still debated and up to 80% of patients with ACC do not receive the definitive surgical treatment during the first hospital admission. A retrospective analysis of patients admitted with non-complicated acute cholecystitis in our hospital has been performed and on the basis of this analysis we proposed evidence based clinical pathway. 502 patients were selected, with a mean age of 62.09 years old, 56% of male sex and a mean Charlson comorbidity index of 2.96. 32.1% of the patients were not operated during all the observed period. Cholecystectomy during the first hospitalization was performed in 44.2% of the cases with a conversion rate of 15.34%, a cumulative hospital stay of 8.08 days and a mean cost of 3904 €. Delayed cholecystectomy after a mean of 119 days was chosen in 23.7% of the patients, 84.80% as elective procedure and 15.2% in urgency. Conversion rate was 13.7%. Cumulative hospital stay was 13.02 days and cumulative costs were 4660 €. Early cholecystectomy resulted better in term of cumulative hospital stay and costs (p |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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