Impact of preoperative management in patients older than 80 years requiring cholecystectomy

Autor:	Dakyum Shin, Song Cheol Kim, Shin Hwang, Gi-Won Song, Dong-Hwan Jung, Ki-Hum Kim, Deok-Bog Moon, Chul-Soo Ahn, Tae-Yong Ha, Dae Wook Hwang, Young-Joo Lee, Ki Byung Song, Seok-Hwan Kim
Rok vydání:	2018
Předmět:	medicine.medical_specialty business.industry Preoperative care Medical record medicine.medical_treatment Mortality rate Perioperative Gallbladder Stone Surgery ASA score Anesthesiology medicine Original Article Cholecystectomy General Materials Science In patient business Aged
Zdroj:	Annals of Hepato-Biliary-Pancreatic Surgery
ISSN:	2508-5859 2508-5778
DOI:	10.14701/ahbps.2018.22.4.380
Popis:	Backgrounds/Aims Elderly patients aged >80 yr have high morbidity and mortality rates after biliary surgery, especially in emergency operations. We conducted this study to determine the effect of preoperative management on the outcome of elderly patients undergoing cholecystectomy. Methods The medical records of 452 elderly (≥80 yr old) patients who underwent cholecystectomy from January 1997 to December 2015 were reviewed retrospectively. We divided the patients into 2 groups: intervention (preoperative biliary drainage) and non-intervention groups. We evaluated the effects of preoperative management on the American Society of Anesthesiology (ASA) score and perioperative outcomes. Results Among the preoperative biliary drainage intervention group (n=286), 48 patients (51.7%) were diagnosed as having gallbladder stone combined with common bile duct stone. On admission, the proportion of patients with ASA score ≥3 and WBC counts were significantly higher in the intervention group than in the non-intervention group (p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::88dd31c960ccefadb95a71309e2d6acc https://doi.org/10.14701/ahbps.2018.22.4.380 Zobrazit plný text záznamu