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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
GARCIA, Daniel et al. Risk factors for readmission after a cholecystectomy: a case-control study. Cir. cir. [online]. 2024, vol.92, n.1, pp.3-9. Epub 07-Mayo-2024. ISSN 2444-054X. https://doi.org/10.24875/ciru.23000057.
Objective:
The aim of this study was to assess the risk factors associated with 30-day hospital readmissions after a cholecystectomy.
Methods:
We conducted a case–control study, with data obtained from UC-Christus from Santiago, Chile. All patients who underwent a cholecystectomy between January 2015 and December 2019 were included in the study. We identified all patients readmitted after a cholecystectomy and compared them with a randomized control group. Univariate and multivariate analyses were conducted to identify risk factors.
Results:
Of the 4866 cholecystectomies performed between 2015 and 2019, 79 patients presented 30-day hospital readmission after the surgical procedure (1.6%). We identified as risk factors for readmission in the univariate analysis the presence of a solid tumor at the moment of cholecystectomy (OR = 7.58), high pre-operative direct bilirubin (OR = 2.52), high pre-operative alkaline phosphatase (OR = 3.25), emergency admission (OR = 2.04), choledocholithiasis on admission (OR = 4.34), additional surgical procedure during the cholecystectomy (OR = 4.12), and post-operative complications. In the multivariate analysis, the performance of an additional surgical procedure during cholecystectomy was statistically significant (OR = 4.24).
Conclusion:
Performing an additional surgical procedure during cholecystectomy was identified as a risk factor associated with 30-day hospital readmission.
Palabras llave : Cholecystectomy; Hospital readmission; Risk factor.