j o u r n a l o f s u r g i c a l r e s e a r c h 1 9 3 ( 2 0 1 5 ) 9 5 e1 0 1
Available online at www.sciencedirect.com
ScienceDirect journal homepage: www.JournalofSurgicalResearch.com
Success of elective cholecystectomy treatment plans after emergency department visit Juliane Bingener, MD,a,* Kristine M. Thomsen, BA,b Andrea McConico, BA, AS,a Erik P. Hess, MD,c and Elizabeth B. Habermann, PhDb a
Department of Surgery, Mayo Clinic, Rochester, Minnesota Robert D. and Patricia E. Kern Center for Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota c Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota b
article info
abstract
Article history:
Background: Differentiation between patients with acute cholecystitis and patients with
Received 6 January 2014
severe biliary colic can be challenging. Patients with undiagnosed acute cholecystitis can
Received in revised form
incur repeat emergency department (ED) visits, which is resource intensive.
12 May 2014
Methods: Billing records from 2000e2013 of all adults who visited the ED in the 30 d pre-
Accepted 11 June 2014
ceding their cholecystectomy were analyzed. Patients who were discharged from the ED
Available online 19 June 2014
and underwent elective cholecystectomy were compared with those who were discharged and returned to the ED within 30 d. T-tests, chi-square tests, and multivariable analysis
Keywords:
were used as appropriate.
Cholecystect
Results: From 2000e2013, 3138 patients (34%) presented to the ED within 30 d before sur-
Care pathway
gery, 63% were women, mean age 51 y, and of those 1625 were directly admitted from the
Emergency room visit
ED for cholecystectomy, whereas 1513 patients left the ED to return for an elective cho-
Cholecystitis
lecystectomy. Patients who were discharged were younger (mean age 49 versus 54 y, P
7 d after ED registration Pregnant at cholecystectomy encounter Pregnant at ED visit within 30 d before cholecystectomy encounter Exclusionary ICD-9 diagnosis code at ED visit leading to cholecystectomy (151.9-209.03, 802.0-962.3) Age
Available online at www.sciencedirect.com
ScienceDirect journal homepage: www.JournalofSurgicalResearch.com
Success of elective cholecystectomy treatment plans after emergency department visit Juliane Bingener, MD,a,* Kristine M. Thomsen, BA,b Andrea McConico, BA, AS,a Erik P. Hess, MD,c and Elizabeth B. Habermann, PhDb a
Department of Surgery, Mayo Clinic, Rochester, Minnesota Robert D. and Patricia E. Kern Center for Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota c Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota b
article info
abstract
Article history:
Background: Differentiation between patients with acute cholecystitis and patients with
Received 6 January 2014
severe biliary colic can be challenging. Patients with undiagnosed acute cholecystitis can
Received in revised form
incur repeat emergency department (ED) visits, which is resource intensive.
12 May 2014
Methods: Billing records from 2000e2013 of all adults who visited the ED in the 30 d pre-
Accepted 11 June 2014
ceding their cholecystectomy were analyzed. Patients who were discharged from the ED
Available online 19 June 2014
and underwent elective cholecystectomy were compared with those who were discharged and returned to the ED within 30 d. T-tests, chi-square tests, and multivariable analysis
Keywords:
were used as appropriate.
Cholecystect
Results: From 2000e2013, 3138 patients (34%) presented to the ED within 30 d before sur-
Care pathway
gery, 63% were women, mean age 51 y, and of those 1625 were directly admitted from the
Emergency room visit
ED for cholecystectomy, whereas 1513 patients left the ED to return for an elective cho-
Cholecystitis
lecystectomy. Patients who were discharged were younger (mean age 49 versus 54 y, P
7 d after ED registration Pregnant at cholecystectomy encounter Pregnant at ED visit within 30 d before cholecystectomy encounter Exclusionary ICD-9 diagnosis code at ED visit leading to cholecystectomy (151.9-209.03, 802.0-962.3) Age
