Index admission cholecystectomy for acute cholecystitis reduces 30-day readmission rates in pediatric patients Article Swipe
Sagar J. Pathak
,
Hyun Dong Ji
,
Amar Nijagal
,
Patrick Avila
,
Sun‐Chuan Dai
,
Mustafa A. Arain
,
Abdul Kouanda
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1007/s00464-023-10632-7
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1007/s00464-023-10632-7
Background Adult patients with cholecystitis who do not undergo cholecystectomy on index admission have worse outcomes, however, there is a paucity of data of the role of cholecystectomy during index hospitalization in the pediatric population. Our aim was to determine outcomes and readmission rates among pediatric patients with cholecystitis who underwent index cholecystectomy versus those who did not. Methods We performed a retrospective study of pediatric (< 18 years old) admitted with acute cholecystitis (AC) requiring hospitalization using the 2018 National Readmission Database (NRD). Exclusion criteria included age ≥ 18 years and death on index admission. Multivariable logistic regression was performed to identify factors associated with 30-day readmissions. Results We identified 550 unique index acute cholecystitis admissions. Mean age was 14.6 ± 3.0 years. Majority of patients were female ( n = 372, 67.6%). Index cholecystectomy was performed in ( n = 435, 79.1%) of cases. Thirty-day readmission rate was 2.8% in patients who underwent index cholecystectomy and 22.6% in those who did not ( p < 0.001). On multivariable analysis, patients who did not undergo index cholecystectomy had higher odds of 30-day readmission than those who did not (OR 10.66, 95% CI 5.06–22.45, p < 0.001). Female patients also had higher odds of 30-day readmission compared to males (OR 3.37, 95% CI 1.31–8.69). Conclusions Patients who did not undergo index cholecystectomy had over tenfold increase in odds of 30-day readmission. Further research is required to understand the barriers to index cholecystectomy despite society recommendations and clear clinical benefit.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00464-023-10632-7
- https://link.springer.com/content/pdf/10.1007/s00464-023-10632-7.pdf
- OA Status
- hybrid
- Cited By
- 2
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4389947368
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4389947368Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00464-023-10632-7Digital Object Identifier
- Title
-
Index admission cholecystectomy for acute cholecystitis reduces 30-day readmission rates in pediatric patientsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-12-19Full publication date if available
- Authors
-
Sagar J. Pathak, Hyun Dong Ji, Amar Nijagal, Patrick Avila, Sun‐Chuan Dai, Mustafa A. Arain, Abdul KouandaList of authors in order
- Landing page
-
https://doi.org/10.1007/s00464-023-10632-7Publisher landing page
- PDF URL
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https://link.springer.com/content/pdf/10.1007/s00464-023-10632-7.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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-
hybridOpen access status per OpenAlex
- OA URL
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https://link.springer.com/content/pdf/10.1007/s00464-023-10632-7.pdfDirect OA link when available
- Concepts
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Medicine, Cholecystectomy, Odds ratio, Cholecystitis, Logistic regression, Odds, Retrospective cohort study, Population, Acute cholecystitis, Internal medicine, General surgery, Gallbladder, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
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2025: 1, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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22Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.retrospective | 63 |
| abstract_inverted_index.cholecystectomy | 10, 28, 53, 136, 157, 178, 222, 242 |
| abstract_inverted_index.hospitalization | 31, 77 |
| abstract_inverted_index.recommendations | 245 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5049661493 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 7 |
| corresponding_institution_ids | https://openalex.org/I180670191 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/10 |
| sustainable_development_goals[0].score | 0.4699999988079071 |
| sustainable_development_goals[0].display_name | Reduced inequalities |
| citation_normalized_percentile.value | 0.7520481 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |