One-year outcomes of elderly acute cholecystitis patients by index treatment
BackgroundStrategies for managing the elderly with acute cholecystitis need to be refined.AimsTo examine additional procedures, hospital readmissions, and outpatient visits in the year following the index admission.Patients and methodsSingle-institution retrospective study of fifty consecutive patie...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1500700/full |
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| author | Núria Lluís Celia Villodre Celia Villodre Lucía Guilabert Lucía Guilabert Isabel de Castro Isabel de Castro Pedro Zapater Pedro Zapater Pedro Zapater Pedro Zapater Belén Martínez Belén Martínez José R. Aparicio José R. Aparicio Fèlix Lluís Enrique de-Madaria Enrique de-Madaria Enrique de-Madaria |
| author_facet | Núria Lluís Celia Villodre Celia Villodre Lucía Guilabert Lucía Guilabert Isabel de Castro Isabel de Castro Pedro Zapater Pedro Zapater Pedro Zapater Pedro Zapater Belén Martínez Belén Martínez José R. Aparicio José R. Aparicio Fèlix Lluís Enrique de-Madaria Enrique de-Madaria Enrique de-Madaria |
| author_sort | Núria Lluís |
| collection | DOAJ |
| description | BackgroundStrategies for managing the elderly with acute cholecystitis need to be refined.AimsTo examine additional procedures, hospital readmissions, and outpatient visits in the year following the index admission.Patients and methodsSingle-institution retrospective study of fifty consecutive patients aged ≥70 years admitted with acute cholecystitis. A propensity score matching analysis adjusted for demographic and clinical variables was carried out.ResultsThe one-year rates of additional procedures were 0%, 47.4%, and 72.7% for surgery, supportive care (SC), and percutaneous gallbladder drainage (PCGD), respectively. The one-year readmission rate was 0%, 15.8%, and 50% after these index procedures, respectively. After propensity score analysis, patients who received SC (55.6% vs. 0%, P = .03) or PCGD (77.8% vs. 0%, P = .002) had a higher rate of additional procedures compared to those who underwent surgery. Additionally, patients receiving PCGD had a higher readmission rate than those undergoing surgery (55.6% vs. 0%, P = .03). Nine patients who received SC and nine patients who received PCGD could have potentially undergone surgery during the index admission. This would have resulted in improved one-year outcomes.ConclusionCholecystectomy during the index hospitalization may provide better one-year outcomes than SC or PCGD in at least 50% of patients ≥70 years with acute cholecystitis. |
| format | Article |
| id | doaj-art-549c838a497647eb8b84083b15dfc3d8 |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-549c838a497647eb8b84083b15dfc3d82025-01-30T06:22:09ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-01-011210.3389/fsurg.2025.15007001500700One-year outcomes of elderly acute cholecystitis patients by index treatmentNúria Lluís0Celia Villodre1Celia Villodre2Lucía Guilabert3Lucía Guilabert4Isabel de Castro5Isabel de Castro6Pedro Zapater7Pedro Zapater8Pedro Zapater9Pedro Zapater10Belén Martínez11Belén Martínez12José R. Aparicio13José R. Aparicio14Fèlix Lluís15Enrique de-Madaria16Enrique de-Madaria17Enrique de-Madaria18Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Surgery, Dr. Balmis General University Hospital, Alicante, SpainAlicante Institute of Health and Biomedical Research (ISABIAL), Alicante, SpainDepartment of Gastroenterology, Dr. Balmis General University Hospital, Alicante, SpainAlicante Institute of Health and Biomedical Research (ISABIAL), Alicante, SpainDepartment of Nursing, Dr. Balmis General University Hospital, Alicante, SpainAlicante Institute of Health and Biomedical Research (ISABIAL), Alicante, SpainDepartment of Pharmacology, Dr. Balmis General University Hospital, Alicante, SpainAlicante Institute of Health and Biomedical Research (ISABIAL), Alicante, SpainDepartment of Pharmacology, Miguel Hernández University, Elche, SpainIDIBE, CIBERehd, Alicante, SpainDepartment of Gastroenterology, Dr. Balmis General University Hospital, Alicante, SpainAlicante Institute of Health and Biomedical Research (ISABIAL), Alicante, SpainDepartment of Gastroenterology, Dr. Balmis General University Hospital, Alicante, SpainAlicante Institute of Health and Biomedical Research (ISABIAL), Alicante, SpainAlicante Institute of Health and Biomedical Research (ISABIAL), Alicante, SpainDepartment of Gastroenterology, Dr. Balmis General University Hospital, Alicante, SpainAlicante Institute of Health and Biomedical Research (ISABIAL), Alicante, SpainDepartment of Medicine, Miguel Hernández University, Elche, SpainBackgroundStrategies for managing the elderly with acute cholecystitis need to be refined.AimsTo examine additional procedures, hospital readmissions, and outpatient visits in the year following the index admission.Patients and methodsSingle-institution retrospective study of fifty consecutive patients aged ≥70 years admitted with acute cholecystitis. A propensity score matching analysis adjusted for demographic and clinical variables was carried out.ResultsThe one-year rates of additional procedures were 0%, 47.4%, and 72.7% for surgery, supportive care (SC), and percutaneous gallbladder drainage (PCGD), respectively. The one-year readmission rate was 0%, 15.8%, and 50% after these index procedures, respectively. After propensity score analysis, patients who received SC (55.6% vs. 0%, P = .03) or PCGD (77.8% vs. 0%, P = .002) had a higher rate of additional procedures compared to those who underwent surgery. Additionally, patients receiving PCGD had a higher readmission rate than those undergoing surgery (55.6% vs. 0%, P = .03). Nine patients who received SC and nine patients who received PCGD could have potentially undergone surgery during the index admission. This would have resulted in improved one-year outcomes.ConclusionCholecystectomy during the index hospitalization may provide better one-year outcomes than SC or PCGD in at least 50% of patients ≥70 years with acute cholecystitis.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1500700/fullcholecystectomylaparoscopicconservative treatment/methodsdrainage/methodsendosonography/methodspropensity score |
| spellingShingle | Núria Lluís Celia Villodre Celia Villodre Lucía Guilabert Lucía Guilabert Isabel de Castro Isabel de Castro Pedro Zapater Pedro Zapater Pedro Zapater Pedro Zapater Belén Martínez Belén Martínez José R. Aparicio José R. Aparicio Fèlix Lluís Enrique de-Madaria Enrique de-Madaria Enrique de-Madaria One-year outcomes of elderly acute cholecystitis patients by index treatment Frontiers in Surgery cholecystectomy laparoscopic conservative treatment/methods drainage/methods endosonography/methods propensity score |
| title | One-year outcomes of elderly acute cholecystitis patients by index treatment |
| title_full | One-year outcomes of elderly acute cholecystitis patients by index treatment |
| title_fullStr | One-year outcomes of elderly acute cholecystitis patients by index treatment |
| title_full_unstemmed | One-year outcomes of elderly acute cholecystitis patients by index treatment |
| title_short | One-year outcomes of elderly acute cholecystitis patients by index treatment |
| title_sort | one year outcomes of elderly acute cholecystitis patients by index treatment |
| topic | cholecystectomy laparoscopic conservative treatment/methods drainage/methods endosonography/methods propensity score |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1500700/full |
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