Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost

Biliary tract diseases that are not adequately treated on index hospitalization are linked to worse outcomes, including high readmission rates. Delays in care for conditions such as choledocholithiasis, gallstone pancreatitis, and cholecystitis often occur due to multiple reasons, and this delay is...

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Main Authors: Karthik Gangu, Aniesh Bobba, Harleen Kaur Chela, Omer Basar, Robert W. Min, Veysel Tahan, Ebubekir Daglilar
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Diseases
Subjects:
Online Access:https://www.mdpi.com/2079-9721/9/4/89
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author Karthik Gangu
Aniesh Bobba
Harleen Kaur Chela
Omer Basar
Robert W. Min
Veysel Tahan
Ebubekir Daglilar
author_facet Karthik Gangu
Aniesh Bobba
Harleen Kaur Chela
Omer Basar
Robert W. Min
Veysel Tahan
Ebubekir Daglilar
author_sort Karthik Gangu
collection DOAJ
description Biliary tract diseases that are not adequately treated on index hospitalization are linked to worse outcomes, including high readmission rates. Delays in care for conditions such as choledocholithiasis, gallstone pancreatitis, and cholecystitis often occur due to multiple reasons, and this delay is under-appreciated as a source of morbidity and mortality. Our study is based on the latest Nationwide Readmissions Database review and evaluated the effects of postponing definitive management to a subsequent visit. The study shows a higher 30-day readmission rate in addition to increased mortality rate, intubation rate, vasopressor use in this patient population and significantly added financial burden.
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spelling doaj.art-a095ccb68545452095d62b519825da8a2023-11-23T07:55:59ZengMDPI AGDiseases2079-97212021-12-01948910.3390/diseases9040089Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and CostKarthik Gangu0Aniesh Bobba1Harleen Kaur Chela2Omer Basar3Robert W. Min4Veysel Tahan5Ebubekir Daglilar6Division of Hospital Medicine, Department of Medicine, University of Missouri, Columbia, MO 65212, USADivision of Hospital Medicine, Department of Medicine, John H Stroger Hospital of Cook County, Chicago, IL 60612, USADivision of Gastroenterology and Hepatology, University of Missouri, Columbia, MO 65212, USADivision of Gastroenterology and Hepatology, University of Missouri, Columbia, MO 65212, USADepartment of Medicine, Rush Medical Collage, Chicago, IL 60612, USADivision of Gastroenterology and Hepatology, University of Missouri, Columbia, MO 65212, USADivision of Gastroenterology and Hepatology, University of Missouri, Columbia, MO 65212, USABiliary tract diseases that are not adequately treated on index hospitalization are linked to worse outcomes, including high readmission rates. Delays in care for conditions such as choledocholithiasis, gallstone pancreatitis, and cholecystitis often occur due to multiple reasons, and this delay is under-appreciated as a source of morbidity and mortality. Our study is based on the latest Nationwide Readmissions Database review and evaluated the effects of postponing definitive management to a subsequent visit. The study shows a higher 30-day readmission rate in addition to increased mortality rate, intubation rate, vasopressor use in this patient population and significantly added financial burden.https://www.mdpi.com/2079-9721/9/4/89cholecystectomygallbladdergallstonepancreatitismortalitymorbidity
spellingShingle Karthik Gangu
Aniesh Bobba
Harleen Kaur Chela
Omer Basar
Robert W. Min
Veysel Tahan
Ebubekir Daglilar
Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
Diseases
cholecystectomy
gallbladder
gallstone
pancreatitis
mortality
morbidity
title Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_full Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_fullStr Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_full_unstemmed Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_short Cutting out Cholecystectomy on Index Hospitalization Leads to Increased Readmission Rates, Morbidity, Mortality and Cost
title_sort cutting out cholecystectomy on index hospitalization leads to increased readmission rates morbidity mortality and cost
topic cholecystectomy
gallbladder
gallstone
pancreatitis
mortality
morbidity
url https://www.mdpi.com/2079-9721/9/4/89
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