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

CholeS Study Group, West Midlands Research Collaborative, Angus McNair

Research output: Contribution to journalArticle (Academic Journal)peer-review

34 Citations (Scopus)
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Abstract

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.
Original languageEnglish
Pages (from-to)1704-1715
Number of pages12
JournalBritish Journal of Surgery
Volume103
Issue number12
Early online date26 Aug 2016
DOIs
Publication statusPublished - 1 Nov 2016

Structured keywords

  • Centre for Surgical Research

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