Population-based cohort study of outcomes following cholecystectomy for benign gallbladder diseases
Vohra RS., Pasquali S., Kirkham AJ., Marriott P., Johnstone M., Spreadborough P., Alderson D., Griffiths EA., Fenwick S., Elmasry M., Nunes Q., Kennedy D., Basit Khan R., Khan MAS., Magee CJ., Jones SM., Mason D., Parappally CP., Mathur P., Saunders M., Jamel S., Ul Haque S., Zafar S., Shiwani MH., Samuel N., Dar F., Jackson A., Lovett B., Dindyal S., Winter H., Fletcher T., Rahman S., Wheatley K., Nieto T., Ayaani S., Youssef H., Nijjar RS., Watkin H., Naumann D., Emeshi S., Sarmah PB., Lee K., Joji N., Heath J., Teasdale RL., Weerasinghe C., Needham PJ., Welbourn H., Forster L., Finch D., Blazeby JM., Robb W., McNair AGK., Hrycaiczuk A., Charalabopoulos A., Kadirkamanathan S., Tang C-B., Jayanthi NVG., Noor N., Dobbins B., Cockbain AJ., Nilsen-Nunn A., Siqueira J., Pellen M., Cowley JB., Ho W-M., Miu V., White TJ., Hodgkins KA., Kinghorn A., Tutton MG., Al-Abed YA., Menzies D., Ahmad A., Reed J., Khan S., Monk D., Vitone LJ., Murtaza G., Joel A., Brennan S., Shier D., Zhang C., Yoganathan T., Robinson SJ., McCallum IJD., Jones MJ., Elsayed M., Tuck L., Wayman J., Carney K., Aroori S., Hosie KB., Kimble A., Bunting DM., Fawole AS., Basheer M., Dave RV., Sarveswaran J., Jones E., Kendall CJ., Tilston MP., Gough M., Wallace T., Singh S., Downing J., Mockford KA., Issa E., Shah N., Chauhan N., Wilson TR., Forouzanfar A., Wild JRL., Nofal E., Bunnell C., Madbak K., Rao STV., Devoto L., Siddiqi N., Khawaja Z., Hewes JC., Gould L., Chambers A., Urriza Rodriguez D., Sen G., Robinson S., Carney K., Bartlett F., Rae DM., Stevenson TEJ., Sarvananthan K., Dwerryhouse SJ., Higgs SM., Old OJ., Hardy TJ., Shah R., Hornby ST., Keogh K., Frank L., Al-Akash M., Upchurch EA., Frame RJ., Hughes M., Jelley C., Weaver S., Roy S., Sillo TO., Galanopoulos G., Cuming T., Cunha P., Tayeh S., Kaptanis S., Heshaishi M., Eisawi A., Abayomi M., Ngu WS., Fleming K., Singh Bajwa D., Chitre V., Aryal K., Ferris P., Silva M., Lammy S., Mohamed S., Khawaja A., Hussain A., Ghazanfar MA., Bellini MI., Ebdewi H., Elshaer M., Gravante G., Drake B., Ogedegbe A., Mukherjee D., Arhi C., Giwa Nusrat Iqbal L., Watson NF., Kumar Aggarwal S., Orchard P., Villatoro E., Willson PD., Wa K., Mok J., Woodman T., Deguara J., Garcea G., Babu BI., Dennison AR., Malde D., Lloyd D., Satheesan S., Al-Taan O., Boddy A., Slavin JP., Jones RP., Ballance L., Gerakopoulos S., Jambulingam P., Mansour S., Sakai N., Acharya V., Sadat MM., Karim L., Larkin D., Amin K., Khan A., Law J., Jamdar S., Smith SR., Sampat K., M O'shea K., Manu M., Asprou FM., Malik NS., Chang J., Johnstone M., Lewis M., Roberts GP., Karavadra B., Photi E., Hewes J., Gould L., Chambers A., Rodriguez D., O'Reilly DA., Rate AJ., Sekhar H., Henderson LT., Starmer BZ., Coe PO., Tolofari S., Barrie J., Bashir G., Sloane J., Madanipour S., Halkias C., Trevatt AEJ., Borowski DW., Hornsby J., Courtney MJ., Virupaksha S., Seymour K., Robinson S., Hawkins H., Bawa S., Gallagher PV., Reid A., Wood P., Finch JG., Parmar J., Stirland E., Gardner-Thorpe J., Al-Muhktar A., Peterson M., Majeed A., Bajwa FM., Martin J., Choy A., Tsang A., Pore N., Andrew DR., Al-Khyatt W., Bhandari CTS., Chambers A., Subramanium D., Toh SKC., Carter NC., Mercer SJ., Knight B., Tate S., Pearce B., Wainwright D., Vijay V., Alagaratnam S., Sinha S., Khan S., El-Hasani SS., Hussain AA., Bhattacharya V., Kansal N., Fasih T., Jackson C., Siddiqui MN., Chishti IA., Fordham IJ., Siddiqui Z., Bausbacher H., Geogloma I., Gurung K., Tsavellas G., Basynat P., Kiran Shrestha A., Basu S., Chhabra Mohan Harilingam A., Rabie M., Akhtar M., Kumar P., Jafferbhoy SF., Hussain N., Raza S., Haque M., Alam I., Aseem R., Patel S., Asad M., Booth MI., Ball WR., Wood CPJ., Pinho-Gomes AC., Kausar A., Rami Obeidallah M., Varghase J., Lodhia J., Bradley D., Rengifo C., Lindsay D., Gopalswamy S., Finlay I., Wardle S., Bullen N., Iftikhar SY., Awan A., Ahmed J., Leeder P., Fusai G., Bond-Smith G., Psica A., Puri Y., Hou D., Noble F., Szentpali K., Broadhurst J., Date R., Hossack MR., Li Goh Y., Turner P., Shetty V., Riera M., Macano CAW., Sukha A., Preston SR., Hoban JR., Puntis DJ., Williams SV., Krysztopik R., Kynaston J., Batt J., Doe M., Goscimski A., Jones GH., Smith SR., Hall C., Carty N., Ahmed J., Panteleimonitis S., Gunasekera RT., Sheel ARG., Lennon H., Hindley C., Reddy M., Kenny R., Elkheir N., McGlone ER., Rajaganeshan R., Hancorn K., Hargreaves A., Prasad R., Longbotham DA., Vijayanand D., Wijetunga I., Ziprin P., Nicolay CR., Yeldham G., Read E., Gossage JA., Rolph RC., Ebied H., Phull M., Khan MA., Popplewell M., Kyriakidis D., Hussain A., Henley N., Packer JR., Derbyshire L., Porter J., Appleton S., Farouk M., Basra M., Jennings NA., Ali S., Kanakala V., Ali H., Lane R., Dickson-Lowe R., Zarsadias P., Mirza D., Puig S., Al Amari K., Vijayan D., Sutcliffe R., Marudanayagam R., Hamady Z., Prasad AR., Patel A., Durkin D., Kaur P., Bowen L., Byrne JP., Pearson KL., Delisle TG., Davies J., Tomlinson MA., Johnpulle MA., Slawinski C., Macdonald A., Nicholson J., Newton K., Mbuvi J., Farooq A., Sidhartha Mothe B., Zafrani Z., Brett D., Francombe J., Spreadborough P., Barnes J., Cheung M., Al-Bahrani AZ., Preziosi G., Urbonas T., Alberts J., Mallik M., Patel K., Segaran A., Doulias T., Sufi PA., Yao C., Pollock S., Manzelli A., Wajed S., Kourkulos M., Pezzuto R., Wadley M., Hamilton E., Jaunoo S., Padwick R., Sayegh M., Newton RC., Hebbar M., Farag SF., Spearman J., Hamdan MF., D'Costa C., Blane C., Giles M., Peter MB., Hirst NA., Hossain T., Pannu A., El-Dhuwaib Y., Morrison TEM., Taylor GW., Thompson RLE., McCune K., Loughlin P., Lawther R., Byrnes CK., Simpson DJ., Mawhinney A., Warren C., McKay D., McIlmunn C., Martin S., MacArtney M., Diamond T., Davey P., Jones C., Clements JM., Digney R., Chan WM., McCain S., Gull S., Janeczko A., Dorrian E., Harris A., Dawson S., Johnston D., McAree B., Ghareeb E., Thomas G., Connelly M., McKenzie S., Cieplucha K., Spence G., Campbell W., Hooks G., Bradley N., Hill ADK., Cassidy JT., Boland M., Burke P., Nally DM., Hill ADK., Khogali E., Shabo W., Iskandar E., McEntee GP., O'Neill MA., Peirce C., Lyons EM., O'Sullivan AW., Thakkar R., Carroll P., Ivanovski I., Balfe P., Lee M., Winter DC., Kelly ME., Hoti E., Maguire D., Karunakaran P., Geoghegan JG., Martin ST., McDermott F., Cross KS., Cooke F., Zeeshan S., Murphy JO., Mealy K., Mohan HM., Nedujchelyn Y., Fahad Ullah M., Ahmed I., Giovinazzo F., Milburn J., Prince S., Brooke E., Buchan J., Khalil AM., Vaughan EM., Ramage MI., Aldridge RC., Gibson S., Nicholson GA., Vass DG., Grant AJ., Holroyd DJ., Jones MA., Sutton CMLR., O'Dwyer P., Nilsson F., Weber B., Williamson TK., Lalla K., Bryant A., Carter CR., Forrest CR., Hunter DI., Nassar AH., Orizu MN., Knight K., Qandeel H., Suttie S., Belding R., McClarey A., Boyd AT., Guthrie GJK., Lim PJ., Luhmann A., Watson AJM., Richards CH., Nicol L., Madurska M., Harrison E., Boyce KM., Roebuck A., Ferguson G., Pati P., Wilson MSJ., Dalgaty F., Fothergill L., Driscoll PJ., Mozolowski KL., Banwell V., Bennett SP., Rogers PN., Skelly BL., Rutherford CL., Mirza AK., Lazim T., Lim HCC., Duke D., Ahmed T., Beasley WD., Wilkinson MD., Maharaj G., Malcolm C., Brown TH., Shingler GM., Mowbray N., Radwan R., Morcous P., Wood S., Kadhim A., Stewart DJ., Baker AL., Tanner N., Shenoy H., Hafiz S., De Marchi JA., Singh-Ranger D., Hisham E., Ainley P., O'Neill S., Terrace J., Napetti S., Hopwood B., Rhys T., Downing J., Kanavati S., Coats M., Aleksandrov D., Kallaway C., Yahya S., Weber B., Templeton A., Trotter M., Lo C., Dhillon A., Heywood N., Aawsaj Y., Hamdan A., Reece-Bolton O., McGuigan A., Shahin Y., Ali A., Luther A., Nicholson JA., Rajendran I., Boal M., Ritchie J.
AbstractBackgroundThe aim was to describe the management of benign gallbladder disease and identify characteristics associated with all-cause 30-day readmissions and complications in a prospective population-based cohort.MethodsData were collected on consecutive patients undergoing cholecystectomy in acute UK and Irish hospitals between 1 March and 1 May 2014. Potential explanatory variables influencing all-cause 30-day readmissions and complications were analysed by means of multilevel, multivariable logistic regression modelling using a two-level hierarchical structure with patients (level 1) nested within hospitals (level 2).ResultsData were collected on 8909 patients undergoing cholecystectomy from 167 hospitals. Some 1451 cholecystectomies (16·3 per cent) were performed as an emergency, 4165 (46·8 per cent) as elective operations, and 3293 patients (37·0 per cent) had had at least one previous emergency admission, but had surgery on a delayed basis. The readmission and complication rates at 30 days were 7·1 per cent (633 of 8909) and 10·8 per cent (962 of 8909) respectively. Both readmissions and complications were independently associated with increasing ASA fitness grade, duration of surgery, and increasing numbers of emergency admissions with gallbladder disease before cholecystectomy. No identifiable hospital characteristics were linked to readmissions and complications.ConclusionReadmissions and complications following cholecystectomy are common and associated with patient and disease characteristics.
