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Charlson Comorbidity Index as a Predictor of Difficult Cholecystectomy in Patients With Acute Cholecystitis

Background The Charlson Comorbidity Index (CCI) has been validated as a predictor of overall survival and post-surgical mortality. CCI is adopted by Tokyo Guidelines as one of the main criteria in the management of acute cholecystitis. Our study evaluates the role of CCI in predicting difficult chol...

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Autores principales: Alburakan, Ahmed A, Abdullah Alshammari, Sulaiman, Saud AlOtaibi, Wadha, Hamad Almalki, Jawharah, Shalhoub, Mishary M, Nouh, Thamer A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780507/
https://www.ncbi.nlm.nih.gov/pubmed/36579241
http://dx.doi.org/10.7759/cureus.31807
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author Alburakan, Ahmed A
Abdullah Alshammari, Sulaiman
Saud AlOtaibi, Wadha
Hamad Almalki, Jawharah
Shalhoub, Mishary M
Nouh, Thamer A
author_facet Alburakan, Ahmed A
Abdullah Alshammari, Sulaiman
Saud AlOtaibi, Wadha
Hamad Almalki, Jawharah
Shalhoub, Mishary M
Nouh, Thamer A
author_sort Alburakan, Ahmed A
collection PubMed
description Background The Charlson Comorbidity Index (CCI) has been validated as a predictor of overall survival and post-surgical mortality. CCI is adopted by Tokyo Guidelines as one of the main criteria in the management of acute cholecystitis. Our study evaluates the role of CCI in predicting difficult cholecystectomy.  Methods All patients who underwent cholecystectomy for acute cholecystitis between January 2017 and September 2019 were included. CCI, Emergency Surgery Score (ESS), and American Society of Anesthesiologists (ASA) score were calculated and analyzed to assess their predictive value for difficult cholecystectomy. Results A total of 96 patients were included and allocated to difficult and non-difficult cholecystectomy groups. CCI was found to be a significant predictor of difficult cholecystectomy (OR 1.59; 59% CI, 1.04. 2.42; p= 0.031). Similarly, ESS was found to be a predictor tool of difficult cholecystectomy (OR 1.42; 59% CI, 1.05. 1.93; p= 0.024). There was no significant difference in adverse outcomes between the two groups. Conclusion CCI was able to predict a difficult cholecystectomy in our study population. However further studies are required to evaluate if it can be used as a predictor of adverse outcomes in the context of acute cholecystitis.
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spelling pubmed-97805072022-12-27 Charlson Comorbidity Index as a Predictor of Difficult Cholecystectomy in Patients With Acute Cholecystitis Alburakan, Ahmed A Abdullah Alshammari, Sulaiman Saud AlOtaibi, Wadha Hamad Almalki, Jawharah Shalhoub, Mishary M Nouh, Thamer A Cureus General Surgery Background The Charlson Comorbidity Index (CCI) has been validated as a predictor of overall survival and post-surgical mortality. CCI is adopted by Tokyo Guidelines as one of the main criteria in the management of acute cholecystitis. Our study evaluates the role of CCI in predicting difficult cholecystectomy.  Methods All patients who underwent cholecystectomy for acute cholecystitis between January 2017 and September 2019 were included. CCI, Emergency Surgery Score (ESS), and American Society of Anesthesiologists (ASA) score were calculated and analyzed to assess their predictive value for difficult cholecystectomy. Results A total of 96 patients were included and allocated to difficult and non-difficult cholecystectomy groups. CCI was found to be a significant predictor of difficult cholecystectomy (OR 1.59; 59% CI, 1.04. 2.42; p= 0.031). Similarly, ESS was found to be a predictor tool of difficult cholecystectomy (OR 1.42; 59% CI, 1.05. 1.93; p= 0.024). There was no significant difference in adverse outcomes between the two groups. Conclusion CCI was able to predict a difficult cholecystectomy in our study population. However further studies are required to evaluate if it can be used as a predictor of adverse outcomes in the context of acute cholecystitis. Cureus 2022-11-22 /pmc/articles/PMC9780507/ /pubmed/36579241 http://dx.doi.org/10.7759/cureus.31807 Text en Copyright © 2022, Alburakan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Alburakan, Ahmed A
Abdullah Alshammari, Sulaiman
Saud AlOtaibi, Wadha
Hamad Almalki, Jawharah
Shalhoub, Mishary M
Nouh, Thamer A
Charlson Comorbidity Index as a Predictor of Difficult Cholecystectomy in Patients With Acute Cholecystitis
title Charlson Comorbidity Index as a Predictor of Difficult Cholecystectomy in Patients With Acute Cholecystitis
title_full Charlson Comorbidity Index as a Predictor of Difficult Cholecystectomy in Patients With Acute Cholecystitis
title_fullStr Charlson Comorbidity Index as a Predictor of Difficult Cholecystectomy in Patients With Acute Cholecystitis
title_full_unstemmed Charlson Comorbidity Index as a Predictor of Difficult Cholecystectomy in Patients With Acute Cholecystitis
title_short Charlson Comorbidity Index as a Predictor of Difficult Cholecystectomy in Patients With Acute Cholecystitis
title_sort charlson comorbidity index as a predictor of difficult cholecystectomy in patients with acute cholecystitis
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780507/
https://www.ncbi.nlm.nih.gov/pubmed/36579241
http://dx.doi.org/10.7759/cureus.31807
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