{Reference Type}: Journal Article
{Title}: Risk factors for readmission after a cholecystectomy: a case-control study.
{Author}: Garcia D;Pastore A;Rodriguez J;Crovari F;Cerda J;Rebolledo P;Achurra P;Viñuela E;Martinez J;Dib M;Briceño E;
{Journal}: Cir Cir
{Volume}: 92
{Issue}: 1
{Year}: 2024
{Factor}: 0.416
{DOI}: 10.24875/CIRU.23000057
{Abstract}: <B>OBJECTIVE: </B>The aim of this study was to assess the risk factors associated with 30-day hospital readmissions after a cholecystectomy.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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).<BR><B>CONCLUSIONS: </B>Performing an additional surgical procedure during cholecystectomy was identified as a risk factor associated with 30-day hospital readmission.<BR><B>OBJECTIVE: </B>El objetivo de este estudio fue evaluar los factores de riesgo asociados al reingreso hospitalario en los primeros 30 días post colecistectomía.<BR><B>UNASSIGNED: </B>Estudio de casos-controles con datos obtenidos del Hospital Clínico de la UC-Christus, Santiago, Chile. Se ­incluyeron las colecistectomías realizadas entre los años 2015-2019. Se consideraron como casos aquellos pacientes que reingresaron en los 30 primeros días posterior a una colecistectomía. Se realizó un análisis univariado y multivariado de diferentes posibles factores de riesgo.<BR><B>RESULTS: </B>De un total de 4866 colecistectomías, 79 pacientes presentaron reingreso hospitalario. Los resultados estadísticamente significativos en el análisis univariado fueron; tumor sólido al momento de la colecistectomía (OR = 7.58) bilirrubina directa preoperatoria alterada (OR = 2.52), fosfatasa alcalina preoperatoria alterada (OR = 3.25), ingreso de urgencia (OR = 2.04), coledocolitiasis al ingreso (OR = 4.34) realización de otros procedimientos (OR = 4.12) y complicaciones postoperatorias. En el análisis multivariado sólo la realización de otro procedimiento durante la colecistectomía fue estadísticamente significativa (OR = 4.24).<BR><B>UNASSIGNED: </B>La realización de otros procedimientos durante la colecistectomía es un factor de riesgo de reingreso hospitalario en los 30 días posteriores a la colecistectomía.