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

CholeS Study Group, West Midlands Research Collaborative

    Research output: Contribution to journalArticlepeer-review

    32 Citations (Scopus)

    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

    Fingerprint Dive into the research topics of 'Population-based cohort study of outcomes following cholecystectomy for benign gallbladder diseases'. Together they form a unique fingerprint.

    Cite this