Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013

Purpose. To identify significant independent preoperative factors influencing postoperative hospital stay (PHS) and medical costs (MC) in 171 patients who underwent cholecystectomy for benign gallbladder diseases and had definite, suspected, or unmatched acute cholecystitis (AC) diagnosis according...

Full description

Saved in:
Bibliographic Details
Published in:Gastroenterology research and practice 2016-01, Vol.2016 (2016), p.1-10
Main Authors: Isaji, Shuji, Azumi, Yoshinori, Miyahara, Shigeki, Matsumoto, Eiichi, Fujii, Koji, Kumamoto, Koji, Fujii, Takehiro, Takahashi, Koji, Hayasaki, Aoi, Kusuta, Tsukasa
Format: Article
Language:English
Subjects:
Analysis
Care and treatment
Cholecystectomy
Cholecystitis
Dementia
Economic aspects
Electronic health records
Gallbladder diseases
Health aspects
Hospital patients
Hospital utilization
Hospitals
Inflammation
Length of stay
Medical care, Cost of
Medical records
Medical treatment
Mortality
Payment systems
Studies
Surgery
Ultrasonic imaging
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose. To identify significant independent preoperative factors influencing postoperative hospital stay (PHS) and medical costs (MC) in 171 patients who underwent cholecystectomy for benign gallbladder diseases and had definite, suspected, or unmatched acute cholecystitis (AC) diagnosis according to the Tokyo Guidelines 2013 (TG13). Methods. The 171 patients were classified according to the combination of diagnostic criteria including local signs of inflammation (A), systemic signs of inflammation (B), and imaging findings (C): A+ B+ C (definite diagnosis, n=84), A+ B (suspected diagnosis, n=25), (A or B) + C (n=10), A (n=41), and B (n=11). Results. The A+ B + C and (A or B) + C groups had equivalent PHS and MC, suggesting that imaging findings were essential for AC diagnosis. PHS and MC were significantly increased in the order of severity grades based on TG13. Performance status (PS), white blood cell count, and severity grade were identified as preoperative factors influencing PHS by multivariate analysis, and significant independent preoperative factors influencing MC were age, PS, preoperative biliary drainage, hospital stay before surgery, albumin, and severity grade. Conclusion. PS and severity grade significantly influenced prolonged PHS and increased MC.
ISSN:1687-6121
1687-630X
DOI:10.1155/2016/7675953