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Population-based cohort study of outcomes following cholecystectomy for benign gallbladder diseases

122Citations signalées — pas une note de qualité
139Institutions déclarées
4Pays d’affiliation déclarés

Résumé fourni par la source

BACKGROUND: The aim was to describe the management of benign gallbladder disease and identify characteristics associated with all-cause 30-day readmissions and complications in a prospective population-based cohort. METHODS: Data were collected on consecutive patients undergoing cholecystectomy in acute UK and Irish hospitals between 1 March and 1 May 2014. Potential explanatory variables influencing all-cause 30-day readmissions and complications were analysed by means of multilevel, multivariable logistic regression modelling using a two-level hierarchical structure with patients (level 1) nested within hospitals (level 2). RESULTS: Data were collected on 8909 patients undergoing cholecystectomy from 167 hospitals. Some 1451 cholecystectomies (16·3 per cent) were performed as an emergency, 4165 (46·8 per cent) as elective operations, and 3293 patients (37·0 per cent) had had at least one previous emergency admission, but had surgery on a delayed basis. The readmission and complication rates at 30 days were 7·1 per cent (633 of 8909) and 10·8 per cent (962 of 8909) respectively. Both readmissions and complications were independently associated with increasing ASA fitness grade, duration of surgery, and increasing numbers of emergency admissions with gallbladder disease before cholecystectomy. No identifiable hospital characteristics were linked to readmissions and complications. CONCLUSION: Readmissions and complications following cholecystectomy are common and associated with patient and disease characteristics.

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Contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Population-based cohort study of outcomes following cholecystectomy for benign gallbladder diseases
Date Crossref
26/08/2016
Éditeur
Oxford University Press (OUP)
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.

Institutions déclarées

Nottingham University Hospitals NHS TrustIstituto Oncologico VenetoIstituti di Ricovero e Cura a Carattere ScientificoCancer Research UK Clinical Trials UnitUniversity of BirminghamThe Royal Wolverhampton NHS TrustWolverhampton HospitalSouth Warwickshire NHS Foundation TrustUniversity Hospitals Birmingham NHS Foundation TrustUniversity of LiverpoolAintree University Hospitals NHS Foundation TrustAiredale General HospitalWirral University Teaching Hospital NHS Foundation TrustChase Farm HospitalBarnet and Chase Farm NHS Hospitals TrustBasildon HospitalSandwell & West Birmingham Hospitals NHS TrustHeart of England NHS Foundation TrustBlackpool Teaching Hospitals NHS Foundation TrustBradford Teaching Hospitals NHS Foundation TrustBroomfield HospitalCalderdale and Huddersfield NHS Foundation TrustHull and East Yorkshire Hospitals NHS TrustChesterfield Royal Hospital NHS Foundation TrustColchester HospitalPrincess Alexandra Hospital NHS TrustCountess of Chester Hospital NHS Foundation TrustCroydon Health Services NHS TrustNorthumbria Healthcare NHS Foundation TrustFreeman HospitalDr Gray's HospitalPlymouth HospitalUniversity Hospitals Plymouth NHS TrustMid Yorkshire Hospitals NHS TrustNorthern Lincolnshire and Goole Hospitals NHS Foundation TrustBassetlaw HospitalDorset County Hospital NHS Foundation TrustNorth Bristol NHS TrustUnited Lincolnshire Hospitals NHS TrustFrimley Park HospitalGloucestershire Hospitals NHS Foundation TrustGreat Western Hospitals NHS Foundation TrustHarrogate and District NHS Foundation TrustWye Valley NHS TrustHomerton University HospitalSouth Tees Hospitals NHS Foundation TrustJames Paget University Hospitals NHS Foundation TrustOxford University Hospitals NHS TrustKing's College Hospital NHS Foundation TrustKettering General HospitalBarking, Havering And Redbridge University Hospitals NHS TrustKings Mill HospitalKingston HospitalUniversity Hospitals of Leicester NHS TrustMid Cheshire Hospitals NHS Foundation TrustLeighton HospitalLuton and Dunstable University Hospital NHS Foundation TrustMacclesfield District General HospitalManchester University NHS Foundation TrustSalford Royal NHS Foundation TrustNorfolk and Norwich University Hospitals NHS Foundation TrustPennine Acute Hospitals NHS TrustNorth Tees and Hartlepool NHS Foundation TrustNorthampton General Hospital NHS TrustSheffield Teaching Hospitals NHS Foundation TrustPeterborough City HospitalPortsmouth Hospitals NHS TrustGateshead Health NHS Foundation TrustLewisham and Greenwich NHS TrustEast Kent Hospitals University NHS Foundation TrustBurton Hospitals NHS Foundation TrustWrightington, Wigan and Leigh NHS Foundation TrustRoyal Albert Edward InfirmaryRoyal Berkshire NHS Foundation TrustEast Lancashire Hospitals NHS TrustBolton NHS Foundation TrustRoyal Bolton HospitalRoyal Cornwall Hospital TrustSalisbury NHS Foundation TrustThe Royal Free HospitalUniversity College LondonHampshire Hospitals NHS Foundation TrustLancashire Teaching Hospitals NHS Foundation TrustRoyal Shrewsbury HospitalRoyal Surrey County HospitalRoyal United Hospital Bath NHS TrustSouthport and Ormskirk Hospital NHS TrustSt George’s University Hospitals NHS Foundation TrustSt Helens and Knowsley Teaching Hospitals NHS TrustLeeds Teaching Hospitals NHS TrustImperial College Healthcare NHS TrustSt Thomas' HospitalStockport NHS Foundation TrustBuckinghamshire Healthcare NHS TrustSouth Tyneside and Sunderland NHS Foundation TrustMaidstone and Tunbridge Wells NHS TrustUniversity Hospital CoventryUniversity Hospitals of North Midlands NHS TrustUniversity Hospital Southampton NHS Foundation TrustUniversity Hospitals of Morecambe Bay NHS Foundation TrustWarrington and Halton Teaching Hospitals NHS Foundation TrustWatford General HospitalWest Suffolk NHS Foundation TrustWhittington Health NHS TrustWorcestershire Acute Hospitals NHS TrustYork Teaching Hospital NHS Foundation TrustUniversity of UlsterAltnagelvin Area HospitalAntrim Area HospitalDaisy Hill HospitalBelfast City HospitalUlster HospitalOur Lady of Lourdes HospitalOur Lady of Lourdes Medical CenterBeaumont HospitalUniversity Hospital LimerickMater HospitalMercy University HospitalSt. Luke's General HospitalUniversity Hospital WaterfordWexford General HospitalAberdeen Royal InfirmaryBorders General HospitalNHS Ayrshire and ArranGartnavel General HospitalGilbert Bain HospitalGlasgow Royal InfirmaryMonklands HospitalNinewells HospitalPerth Royal InfirmaryRaigmore HospitalEdinburgh Royal InfirmaryStracathro HospitalWestern InfirmaryBronglais General HospitalPrince Philip HospitalSingleton HospitalPrincess of Wales HospitalWrexham Maelor Hospital

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Sujets associés

Gallbladder and Bile Duct DisordersCholangiocarcinoma and Gallbladder Cancer StudiesPancreatic and Hepatic Oncology Research

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