Prompt laparoscopic cholecystectomy would reduce morbidity and save hospital resources

2.50
Hdl Handle:
http://hdl.handle.net/11287/593855
Title:
Prompt laparoscopic cholecystectomy would reduce morbidity and save hospital resources
Authors:
Rossi, Benjamin W.; Bassett, Euan; Martin, M.; Andrews, S.; Wajed, Shahjehan
Abstract:
INTRODUCTION: Limited resources and organisational problems often result in significant waiting times for patients presenting with an indication for cholecystectomy. This study investigated the potential false economy of such practice. METHODS: Retrospective analysis of all patients on a waiting list for cholecystectomy between July 2007 and October 2010 was performed. The hospital computer document management system and patients' notes were used to collect data. RESULTS: A total of 1,021 patients were included in the study; 701 were listed from clinic and 320 were listed following an emergency admission. The median time on a waiting list before surgery was 96 days (range: 5-381 days). Eighty-seven patients (8.5%) had an emergency admission with a gallstone related problem while on a waiting list. This resulted in 488 cumulative inpatient days. There was a significant correlation between increased time spent on the waiting list and increased chance of an emergency admission (p=0.01). Patients added to the waiting list from emergency admissions were more likely to be admitted with complications than those listed from clinic (15.3% vs 5.4%, p<0.01). There was no association between age (p=0.53) or sex (p=0.23) and likelihood of emergency admission while on a waiting list. CONCLUSIONS: Prompt elective surgery and same-admission emergency laparoscopic cholecystectomy can reduce waiting list patient morbidity and is likely to save resources in the long term.
Citation:
Ann R Coll Surg Engl. 2014 May;96(4):294-6.
Publisher:
Royal College of Surgeons
Journal:
Annals of the Royal College of Surgeons of England
Issue Date:
1-May-2014
URI:
http://hdl.handle.net/11287/593855
DOI:
10.1308/003588414X13814021680111
PubMed ID:
24780022
Additional Links:
http://publishing.rcseng.ac.uk/doi/abs/10.1308/003588414X13814021680111?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
Type:
Journal Article
Language:
eng
ISSN:
1478-7083
Appears in Collections:
Upper Gastro-Intestinal Surgery; 2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorRossi, Benjamin W.en
dc.contributor.authorBassett, Euanen
dc.contributor.authorMartin, M.en
dc.contributor.authorAndrews, S.en
dc.contributor.authorWajed, Shahjehanen
dc.date.accessioned2016-01-19T12:35:48Zen
dc.date.available2016-01-19T12:35:48Zen
dc.date.issued2014-05-01en
dc.identifier.citationAnn R Coll Surg Engl. 2014 May;96(4):294-6.en
dc.identifier.issn1478-7083en
dc.identifier.pmid24780022en
dc.identifier.doi10.1308/003588414X13814021680111en
dc.identifier.urihttp://hdl.handle.net/11287/593855en
dc.description.abstractINTRODUCTION: Limited resources and organisational problems often result in significant waiting times for patients presenting with an indication for cholecystectomy. This study investigated the potential false economy of such practice. METHODS: Retrospective analysis of all patients on a waiting list for cholecystectomy between July 2007 and October 2010 was performed. The hospital computer document management system and patients' notes were used to collect data. RESULTS: A total of 1,021 patients were included in the study; 701 were listed from clinic and 320 were listed following an emergency admission. The median time on a waiting list before surgery was 96 days (range: 5-381 days). Eighty-seven patients (8.5%) had an emergency admission with a gallstone related problem while on a waiting list. This resulted in 488 cumulative inpatient days. There was a significant correlation between increased time spent on the waiting list and increased chance of an emergency admission (p=0.01). Patients added to the waiting list from emergency admissions were more likely to be admitted with complications than those listed from clinic (15.3% vs 5.4%, p<0.01). There was no association between age (p=0.53) or sex (p=0.23) and likelihood of emergency admission while on a waiting list. CONCLUSIONS: Prompt elective surgery and same-admission emergency laparoscopic cholecystectomy can reduce waiting list patient morbidity and is likely to save resources in the long term.en
dc.language.isoengen
dc.publisherRoyal College of Surgeonsen
dc.relation.urlhttp://publishing.rcseng.ac.uk/doi/abs/10.1308/003588414X13814021680111?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmeden
dc.titlePrompt laparoscopic cholecystectomy would reduce morbidity and save hospital resourcesen
dc.typeJournal Articleen
dc.identifier.journalAnnals of the Royal College of Surgeons of Englanden

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