Index admission cholecystectomy for acute cholecystitis reduces 30-day readmission rates in pediatric patients
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- Index admission cholecystectomy for pediatric acute cholecystitis reduces 30-day readmission rates from 22.6% to 2.8%
- Study analyzed 550 pediatric patients with acute cholecystitis; 435 underwent index cholecystectomy
- Operating during index admission appears superior to delayed cholecystectomy after discharge in pediatric acute cholecystitis
- Retrospective national database study from San Francisco supports early surgical intervention for pediatric gallbladder disease
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Do you operate acute cholecystitis in index admission or after discharge? I'm Cecilia Higena from Cincinnati Children's Hospital and I think this is an article that you should know about. This is a retrospective study done in San Francisco with a national database. And their aim was to compare a 30-day readmission between index cholecystectomy and cholecystectomy after discharge for acute cholecystitis. And what did they find? They had 550 patients with acute cholecystitis. 435 had an index cholecystectomy. And what they found is that index cholecystectomy had a significantly lower 30-day readmissions of 2.8 versus those operated after with 22.6%. So, it seems that index cholecystectomy is a good option for acute cholecystitis in pediatric patients. Let us know what you think and stay tuned for more articles that you should know about.