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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MDPI AG
2021-12-01
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Series: | Diseases |
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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. |
first_indexed | 2024-03-10T04:18:10Z |
format | Article |
id | doaj.art-a095ccb68545452095d62b519825da8a |
institution | Directory Open Access Journal |
issn | 2079-9721 |
language | English |
last_indexed | 2024-03-10T04:18:10Z |
publishDate | 2021-12-01 |
publisher | MDPI AG |
record_format | Article |
series | Diseases |
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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