Is there a difference in textbook outcomes of emergency cholecystectomy in older patients compared with younger patients?
Rattachement africain : tr. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Textbook outcome (TO) is a concept that describes achieving an uneventful course for a patient undergoing surgery. It was first described for colorectal surgery and is now increasingly linked to various topics of surgical literature. After the S.P.Ri.M.A.C.C. Study, the authors applied the concept to emergency cholecystectomies. In this study, we aimed to question whether being an older patient commands a difference in textbook outcome rates. METHODS: All patients undergoing emergency cholecystectomy in a single tertiary hospital between 2020 and 2024 were included in this study. The TO criteria included no 30-day mortality, no 30-day postoperative complications, no readmission within 30 days, a hospital stay of ≤ 7 days and complete laparoscopic surgery. Group A included patients younger than 65 years and the others comprised group B. RESULTS: The study was conducted with 212 patients, of whom 123 (58%) were female. Conversion to open and subtotal cholecystectomy were similar between groups. The textbook outcome rate was 88% in the younger group and 72% in the elderly patients (p = 0.040). However, multivariate logistic regression analyses did not support age as a significant factor in textbook outcome. Length of hospital stay (> 7 days) and postoperative complications were determined to be reasons for not achieving the textbook outcome. CONCLUSIONS: The textbook outcome rate in older patients was not similar to that in younger patients. Surgical and non-surgical causes should be highlighted. Risk stratification remains important in the management of acute cholecystitis. Larger studies with patient-centred data are needed to improve the concept.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Is there a difference in textbook outcomes of emergency cholecystectomy in older patients compared with younger patients?
- Date Crossref
- 28/07/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Bakırköy Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi pays non établi dans la noticeÉtablissement de santé
-
Sağlık Bilimleri Üniversitesi pays non établi dans la noticeUniversité ou école supérieure
-
İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi pays non établi dans la noticeÉtablissement de santé
-
Memorial Ankara Hospital pays non établi dans la noticeÉtablissement de santé
-
University of Health Sciences Department of General Surgery pays non établi dans la noticeUniversité ou école supérieure
-
Ankara City Hospital Health Application and Research Center Department of General Surgery pays non établi dans la noticeStructure de recherche
Bakırköy Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi, Sağlık Bilimleri Üniversitesi et İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.