Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost

Biliary tract diseases that are not adequately treated on index hospitalization are linked to worse outcomes, including high readmission rates. Delays in care for conditions such as choledocholithiasis, gallstone pancreatitis, and cholecystitis often occur due to multiple reasons, and this delay is...

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Autores principales: Gangu, Karthik, Bobba, Aniesh, Chela, Harleen Kaur, Basar, Omer, Min, Robert W., Tahan, Veysel, Daglilar, Ebubekir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8699900/
https://www.ncbi.nlm.nih.gov/pubmed/34940027
http://dx.doi.org/10.3390/diseases9040089
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author Gangu, Karthik
Bobba, Aniesh
Chela, Harleen Kaur
Basar, Omer
Min, Robert W.
Tahan, Veysel
Daglilar, Ebubekir
author_facet Gangu, Karthik
Bobba, Aniesh
Chela, Harleen Kaur
Basar, Omer
Min, Robert W.
Tahan, Veysel
Daglilar, Ebubekir
author_sort Gangu, Karthik
collection PubMed
description Biliary tract diseases that are not adequately treated on index hospitalization are linked to worse outcomes, including high readmission rates. Delays in care for conditions such as choledocholithiasis, gallstone pancreatitis, and cholecystitis often occur due to multiple reasons, and this delay is under-appreciated as a source of morbidity and mortality. Our study is based on the latest Nationwide Readmissions Database review and evaluated the effects of postponing definitive management to a subsequent visit. The study shows a higher 30-day readmission rate in addition to increased mortality rate, intubation rate, vasopressor use in this patient population and significantly added financial burden.
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spelling pubmed-86999002021-12-24 Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost Gangu, Karthik Bobba, Aniesh Chela, Harleen Kaur Basar, Omer Min, Robert W. Tahan, Veysel Daglilar, Ebubekir Diseases Article Biliary tract diseases that are not adequately treated on index hospitalization are linked to worse outcomes, including high readmission rates. Delays in care for conditions such as choledocholithiasis, gallstone pancreatitis, and cholecystitis often occur due to multiple reasons, and this delay is under-appreciated as a source of morbidity and mortality. Our study is based on the latest Nationwide Readmissions Database review and evaluated the effects of postponing definitive management to a subsequent visit. The study shows a higher 30-day readmission rate in addition to increased mortality rate, intubation rate, vasopressor use in this patient population and significantly added financial burden. MDPI 2021-12-06 /pmc/articles/PMC8699900/ /pubmed/34940027 http://dx.doi.org/10.3390/diseases9040089 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gangu, Karthik
Bobba, Aniesh
Chela, Harleen Kaur
Basar, Omer
Min, Robert W.
Tahan, Veysel
Daglilar, Ebubekir
Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_full Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_fullStr Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_full_unstemmed Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_short Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_sort cutting out cholecystectomy on index hospitalization leads to increased readmission rates, morbidity, mortality and cost
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8699900/
https://www.ncbi.nlm.nih.gov/pubmed/34940027
http://dx.doi.org/10.3390/diseases9040089
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