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...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/7675953 |
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| author | Aoi Hayasaki Koji Takahashi Takehiro Fujii Koji Kumamoto Koji Fujii Eiichi Matsumoto Shigeki Miyahara Tsukasa Kusuta Yoshinori Azumi Shuji Isaji |
| author_facet | Aoi Hayasaki Koji Takahashi Takehiro Fujii Koji Kumamoto Koji Fujii Eiichi Matsumoto Shigeki Miyahara Tsukasa Kusuta Yoshinori Azumi Shuji Isaji |
| author_sort | Aoi Hayasaki |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-31c9cedcdbd84b56bf88c7b2ddff8eba |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-31c9cedcdbd84b56bf88c7b2ddff8eba2025-02-03T00:59:17ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/76759537675953Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013Aoi Hayasaki0Koji Takahashi1Takehiro Fujii2Koji Kumamoto3Koji Fujii4Eiichi Matsumoto5Shigeki Miyahara6Tsukasa Kusuta7Yoshinori Azumi8Shuji Isaji9Department of Surgery, Ise Red Cross Hospital, 1-471-2 Funae, Ise, Mie Prefecture 58512, JapanDepartment of Surgery, Ise Red Cross Hospital, 1-471-2 Funae, Ise, Mie Prefecture 58512, JapanDepartment of Surgery, Ise Red Cross Hospital, 1-471-2 Funae, Ise, Mie Prefecture 58512, JapanDepartment of Surgery, Ise Red Cross Hospital, 1-471-2 Funae, Ise, Mie Prefecture 58512, JapanDepartment of Surgery, Ise Red Cross Hospital, 1-471-2 Funae, Ise, Mie Prefecture 58512, JapanDepartment of Surgery, Ise Red Cross Hospital, 1-471-2 Funae, Ise, Mie Prefecture 58512, JapanDepartment of Surgery, Ise Red Cross Hospital, 1-471-2 Funae, Ise, Mie Prefecture 58512, JapanDepartment of Surgery, Ise Red Cross Hospital, 1-471-2 Funae, Ise, Mie Prefecture 58512, JapanDepartment of Hepatobiliary Pancreatic and Transplant Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanDepartment of Hepatobiliary Pancreatic and Transplant Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanPurpose. 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.http://dx.doi.org/10.1155/2016/7675953 |
| spellingShingle | Aoi Hayasaki Koji Takahashi Takehiro Fujii Koji Kumamoto Koji Fujii Eiichi Matsumoto Shigeki Miyahara Tsukasa Kusuta Yoshinori Azumi Shuji Isaji 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 Gastroenterology Research and Practice |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | http://dx.doi.org/10.1155/2016/7675953 |
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