Characteristics and outcome of elderly patients admitted for acute Cholecystitis to medical or surgical wards

Autor: Itamar Feldman, Reuven Friedman, Lena Feldman, Gabriel Munter, Dvorah Sara Shapiro, Amos M. Yinnon
Rok vydání: 2019
Předmět:
Male
medicine.medical_specialty
medicine.medical_treatment
Cholecystitis
Acute
Hospital Departments
Mental impairment
Conservative Treatment
Cohort Studies
03 medical and health sciences
0302 clinical medicine
medicine
Acute cholecystitis
Cholecystitis
Humans
030212 general & internal medicine
Hospital Mortality
Original Research Article
Israel
Cholecystostomy
Aged
Retrospective Studies
Outcome
Aged
80 and over
lcsh:R5-920
business.industry
Public health
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
Health services research
Retrospective cohort study
lcsh:RA1-1270
Length of Stay
medicine.disease
humanities
Health policy
Conservative treatment
Hospitalization
Medical department
Geriatric department
Emergency medicine
030211 gastroenterology & hepatology
Female
business
lcsh:Medicine (General)
Zdroj: Israel Journal of Health Policy Research
Israel Journal of Health Policy Research, Vol 9, Iss 1, Pp 1-7 (2020)
ISSN: 2045-4015
Popis: Background Elderly patients admitted because of acute cholecystitis are usually not operated during their initial admission and receive conservative treatment. To help formulate a new admission policy regarding elderly patients with acute cholecystitis we compared the demographic and clinical characteristics and outcome of patients > 65 with acute cholecystitis admitted to medical or surgical wards. Methods This retrospective study included all patients > 65 years admitted for acute cholecystitis between January, 2009 and September, 2016. Data were retrieved from the electronic health records. Results A total of 187 patients were detected, 54 (29%) in medical departments and 133 (71%) in surgical wards. The mean age (±SD) was 80 ± 7.5 and was higher among those in medical than surgical wards (84 ± 7 versus 79 ± 7, p 1 week. The strongest predictor for having cholecystostomy was admission to the surgical department (OR = 14.7, 95% C. I 3.9–56.7). Linear regression showed a negative correlation between NSS and length of hospitalization (LOH; Beta = − 0.5). Conclusion Elderly patients with acute cholecystitis who require conservative management, especially those with severe functional and mental impairment can be safely hospitalized in medical departments. Outcome was not inferior in terms of mortality and LOH. These results have practical policy implications for the placement of elderly patients with acute cholecystitis in medical rather than surgical departments.
Databáze: OpenAIRE
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