Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study
Abstract Introduction A textbook outcome patient is one in which the operative course passes uneventful, without complications, readmission or mortality. There is a lack of publications in terms of TO on acute cholecystitis. Objetive The objective of this study is to analyze the achievement of TO in...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | World Journal of Emergency Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13017-024-00539-6 |
| _version_ | 1797247396029136896 |
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| author | Paola Fugazzola Silvia Carbonell-Morote Lorenzo Cobianchi Federico Coccolini Juan Jesús Rubio-García Massimo Sartelli Walter Biffl Fausto Catena Luca Ansaloni Jose Manuel Ramia the S.P.Ri.M.A.C.C. Collaborative Group |
| author_facet | Paola Fugazzola Silvia Carbonell-Morote Lorenzo Cobianchi Federico Coccolini Juan Jesús Rubio-García Massimo Sartelli Walter Biffl Fausto Catena Luca Ansaloni Jose Manuel Ramia the S.P.Ri.M.A.C.C. Collaborative Group |
| author_sort | Paola Fugazzola |
| collection | DOAJ |
| description | Abstract Introduction A textbook outcome patient is one in which the operative course passes uneventful, without complications, readmission or mortality. There is a lack of publications in terms of TO on acute cholecystitis. Objetive The objective of this study is to analyze the achievement of TO in patients with urgent early cholecystectomy (UEC) for Acute Cholecystitis. and to identify which factors are related to achieving TO. Materials and methods This is a post hoc study of the SPRiMACC study. It´s a prospective multicenter observational study run by WSES. The criteria to define TO in urgent early cholecystectomy (TOUEC) were no 30-day mortality, no 30-day postoperative complications, no readmission within 30 days, and hospital stay ≤ 7 days (75th percentile), and full laparoscopic surgery. Patients who met all these conditions were taken as presenting a TOUEC. Outcomes 1246 urgent early cholecystectomies for ACC were included. In all, 789 patients (63.3%) achieved all TOUEC parameters, while 457 (36.6%) failed to achieve one or more parameters and were considered non-TOUEC. The patients who achieved TOUEC were younger had significantly lower scores on all the risk scales analyzed. In the serological tests, TOUEC patients had lower values for in a lot of variables than non-TOUEC patients. The TOUEC group had lower rates of complicated cholecystitis. Considering operative time, a shorter duration was also associated with a higher probability of reaching TOUEC. Conclusion Knowledge of the factors that influence the TOUEC can allow us to improve our results in terms of textbook outcome. |
| first_indexed | 2024-04-24T19:58:01Z |
| format | Article |
| id | doaj.art-4cdb3ce5fab74722bf88399d6e05fa7b |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-04-24T19:58:01Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-4cdb3ce5fab74722bf88399d6e05fa7b2024-03-24T12:13:59ZengBMCWorld Journal of Emergency Surgery1749-79222024-03-0119111210.1186/s13017-024-00539-6Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C studyPaola Fugazzola0Silvia Carbonell-Morote1Lorenzo Cobianchi2Federico Coccolini3Juan Jesús Rubio-García4Massimo Sartelli5Walter Biffl6Fausto Catena7Luca Ansaloni8Jose Manuel Ramia9the S.P.Ri.M.A.C.C. Collaborative GroupDivision of General Surgery, Fondazione IRCCS Policlinico San MatteoServicio de Cirugía General. Hospital General Universitario Dr. BalmisDivision of General Surgery, Fondazione IRCCS Policlinico San MatteoDepartment of Emergency and Trauma Surgery, Pisa University Hospital, University of PisaServicio de Cirugía General. Hospital General Universitario Dr. BalmisMacerata HospitalDivision of Trauma/Acute Care Surgery, Scripps Clinic Medical GroupGeneral and Emergency Surgery, Bufalini HospitalDivision of General Surgery, Fondazione IRCCS Policlinico San MatteoServicio de Cirugía General. Hospital General Universitario Dr. BalmisAbstract Introduction A textbook outcome patient is one in which the operative course passes uneventful, without complications, readmission or mortality. There is a lack of publications in terms of TO on acute cholecystitis. Objetive The objective of this study is to analyze the achievement of TO in patients with urgent early cholecystectomy (UEC) for Acute Cholecystitis. and to identify which factors are related to achieving TO. Materials and methods This is a post hoc study of the SPRiMACC study. It´s a prospective multicenter observational study run by WSES. The criteria to define TO in urgent early cholecystectomy (TOUEC) were no 30-day mortality, no 30-day postoperative complications, no readmission within 30 days, and hospital stay ≤ 7 days (75th percentile), and full laparoscopic surgery. Patients who met all these conditions were taken as presenting a TOUEC. Outcomes 1246 urgent early cholecystectomies for ACC were included. In all, 789 patients (63.3%) achieved all TOUEC parameters, while 457 (36.6%) failed to achieve one or more parameters and were considered non-TOUEC. The patients who achieved TOUEC were younger had significantly lower scores on all the risk scales analyzed. In the serological tests, TOUEC patients had lower values for in a lot of variables than non-TOUEC patients. The TOUEC group had lower rates of complicated cholecystitis. Considering operative time, a shorter duration was also associated with a higher probability of reaching TOUEC. Conclusion Knowledge of the factors that influence the TOUEC can allow us to improve our results in terms of textbook outcome.https://doi.org/10.1186/s13017-024-00539-6Textbook outcomeBenchmarkEarly cholecystectomyAcute cholecystitisMorbidity |
| spellingShingle | Paola Fugazzola Silvia Carbonell-Morote Lorenzo Cobianchi Federico Coccolini Juan Jesús Rubio-García Massimo Sartelli Walter Biffl Fausto Catena Luca Ansaloni Jose Manuel Ramia the S.P.Ri.M.A.C.C. Collaborative Group Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study World Journal of Emergency Surgery Textbook outcome Benchmark Early cholecystectomy Acute cholecystitis Morbidity |
| title | Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study |
| title_full | Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study |
| title_fullStr | Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study |
| title_full_unstemmed | Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study |
| title_short | Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study |
| title_sort | textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis results post hoc of the s p ri m a c c study |
| topic | Textbook outcome Benchmark Early cholecystectomy Acute cholecystitis Morbidity |
| url | https://doi.org/10.1186/s13017-024-00539-6 |
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