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Background: Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables. Methods: Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set. Results: Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001). Conclusions: The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy.
The cholecystectomy as a day case (CAAD) score: a validated score of preoperative predictors of successful day-case cholecystectomy using the choleS data set / El-Sharkawy, A.M., Tewari, N., Vohra, R.S., Vohra, R.S., Pasquali, S., Kirkham, A.J., Marriott, P., Johnstone, M., Spreadborough, P., Alderson, D., Griffiths, E.A., Fenwick, S., Elmasry, M., Nunes, Q., Kennedy, D., Basit Khan, R., Khan, M.A., Magee, C.J., Jones, S.M., Mason, D., et al.. - In: WORLD JOURNAL OF SURGERY. - ISSN 0364-2313. - 43:8(2019), pp. 1928-1934. [10.1007/s00268-019-04981-5]
The cholecystectomy as a day case (CAAD) score: a validated score of preoperative predictors of successful day-case cholecystectomy using the choleS data set
El-Sharkawy A. M.;Tewari N.;Vohra R. S.;Vohra R. S.;Pasquali S.;Kirkham A. J.;Marriott P.;Johnstone M.;Spreadborough P.;Alderson D.;Griffiths E. A.;Fenwick S.;Elmasry M.;Nunes Q.;Kennedy D.;Basit Khan R.;Khan M. A.;Magee C. J.;Jones S. M.;Mason D.;Parappally C. P.;Mathur P.;Saunders M.;Jamel S.;Ul Haque S.;Zafar S.;Shiwani M. H.;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 R. S.;Watkin H.;Naumann D.;Emeshi S.;Sarmah P. B.;Lee K.;Joji N.;Heath J.;Teasdale R. L.;Weerasinghe C.;Needham P. J.;Welbourn H.;Forster L.;Finch D.;Blazeby J. M.;Robb W.;McNair A. G.;Hrycaiczuk A.;Charalabopoulos A.;Kadirkamanathan S.;Tang C. B.;Jayanthi N. V.;Noor N.;Dobbins B.;Cockbain A. J.;Nilsen-Nunn A.;de Siqueira J.;Pellen M.;Cowley J. B.;Ho W. M.;Miu V.;White T. J.;Hodgkins K. A.;Kinghorn A.;Tutton M. G.;Al-Abed Y. A.;Menzies D.;Ahmad A.;Reed J.;Khan S.;Monk D.;Vitone L. J.;Murtaza G.;Joel A.;Brennan S.;Shier D.;Zhang C.;Yoganathan T.;Robinson S. J.;McCallum I. J.;Jones M. J.;Elsayed M.;Tuck L.;Wayman J.;Carney K.;Aroori S.;Hosie K. B.;Kimble A.;Bunting D. M.;Fawole A. S.;Basheer M.;Dave R. V.;Sarveswaran J.;Jones E.;Kendall C. J.;Tilston M. P.;Gough M.;Wallace T.;Singh S.;Downing J.;Mockford K. A.;Issa E.;Shah N.;Chauhan N.;Wilson T. R.;Forouzanfar A.;Wild J. R.;Nofal E.;Bunnell C.;Madbak K.;Rao S. T.;Devoto L.;Siddiqi N.;Khawaja Z.;Hewes J. C.;Gould L.;Chambers A.;Urriza Rodriguez D.;Sen G.;Robinson S.;Bartlett F.;Rae D. M.;Stevenson T. E.;Sarvananthan K.;Dwerryhouse S. J.;Higgs S. M.;Old O. J.;Hardy T. J.;Shah R.;Hornby S. T.;Keogh K.;Frank L.;Al-Akash M.;Upchurch E. A.;Frame R. J.;Hughes M.;Jelley C.;Weaver S.;Roy S.;Sillo T. O.;Galanopoulos G.;Cuming T.;Cunha P.;Tayeh S.;Kaptanis S.;Heshaishi M.;Eisawi A.;Abayomi M.;Ngu W. S.;Fleming K.;Singh Bajwa D.;Chitre V.;Aryal K.;Ferris P.;Silva M.;Lammy S.;Mohamed S.;Khawaja A.;Hussain A.;Ghazanfar M. A.;Bellini M. I.;Ebdewi H.;Elshaer M.;Gravante G.;Drake B.;Ogedegbe A.;Mukherjee D.;Arhi C.;Giwa Nusrat Iqbal L.;Watson N. F.;Kumar Aggarwal S.;Orchard P.;Villatoro E.;Willson P. D.;Wa K.;Mok J.;Woodman T.;Deguara J.;Garcea G.;Babu B. I.;Dennison A. R.;Malde D.;Lloyd D.;Satheesan S.;Al-Taan O.;Boddy A.;Slavin J. P.;Jones R. P.;Ballance L.;Gerakopoulos S.;Jambulingam P.;Mansour S.;Sakai N.;Acharya V.;Sadat M. M.;Karim L.;Larkin D.;Amin K.;Khan A.;Law J.;Jamdar S.;Smith S. R.;Sampat K.;M O'shea K.;Manu M.;Asprou F. M.;Malik N. S.;Chang J.;Lewis M.;Roberts G. P.;Karavadra B.;Photi E.;Rodriguez D.;O'Reilly D. A.;Rate A. J.;Sekhar H.;Henderson L. T.;Starmer B. Z.;Coe P. O.;Tolofari S.;Barrie J.;Bashir G.;Sloane J.;Madanipour S.;Halkias C.;Trevatt A. E.;Borowski D. W.;Hornsby J.;Courtney M. J.;Virupaksha S.;Seymour K.;Robinson S.;Hawkins H.;Bawa S.;Gallagher P. V.;Reid A.;Wood P.;Finch J. G.;Parmar J.;Stirland E.;Gardner-Thorpe J.;Al-Muhktar A.;Peterson M.;Majeed A.;Bajwa F. M.;Martin J.;Choy A.;Tsang A.;Pore N.;Andrew D. R.;Al-Khyatt W.;Bhandari C. T.;Subramanium D.;Toh S. K.;Carter N. C.;Mercer S. J.;Knight B.;Tate S.;Pearce B.;Wainwright D.;Vijay V.;Alagaratnam S.;Sinha S.;Khan S.;El-Hasani S. S.;Hussain A. A.;Bhattacharya V.;Kansal N.;Fasih T.;Jackson C.;Siddiqui M. N.;Chishti I. A.;Fordham I. J.;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 S. F.;Hussain N.;Raza S.;Haque M.;Alam I.;Aseem R.;Patel S.;Asad M.;Booth M. I.;Ball W. R.;Wood C. P.;Pinho-Gomes A. C.;Kausar A.;Rami Obeidallah M.;Varghase J.;Lodhia J.;Bradley D.;Rengifo C.;Lindsay D.;Gopalswamy S.;Finlay I.;Wardle S.;Bullen N.;Iftikhar S. Y.;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 M. R.;Li Goh Y.;Turner P.;Shetty V.;Riera M.;Macano C. A.;Sukha A.;Preston S. R.;Hoban J. R.;Puntis D. J.;Williams S. V.;Krysztopik R.;Kynaston J.;Batt J.;Doe M.;Goscimski A.;Jones G. H.;Smith S. R.;Hall C.;Carty N.;Panteleimonitis S.;Gunasekera R. T.;Sheel A. R.;Lennon H.;Hindley C.;Reddy M.;Kenny R.;Elkheir N.;McGlone E. R.;Rajaganeshan R.;Hancorn K.;Hargreaves A.;Prasad R.;Longbotham D. A.;Vijayanand D.;Wijetunga I.;Ziprin P.;Nicolay C. R.;Yeldham G.;Read E.;Gossage J. A.;Rolph R. C.;Ebied H.;Phull M.;Khan M. A.;Popplewell M.;Kyriakidis D.;Henley N.;Packer J. R.;Derbyshire L.;Porter J.;Appleton S.;Farouk M.;Basra M.;Jennings N. A.;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 A. R.;Patel A.;Durkin D.;Kaur P.;Bowen L.;Byrne J. P.;Pearson K. L.;Delisle T. G.;Davies J.;Tomlinson M. A.;Johnpulle M. A.;Slawinski C.;Macdonald A.;Nicholson J.;Newton K.;Mbuvi J.;Farooq A.;Sidhartha Mothe B.;Zafrani Z.;Brett D.;Francombe J.;Barnes J.;Cheung M.;Al-Bahrani A. Z.;Preziosi G.;Urbonas T.;Alberts J.;Mallik M.;Patel K.;Segaran A.;Doulias T.;Sufi P. A.;Yao C.;Pollock S.;Manzelli A.;Wajed S.;Kourkulos M.;Pezzuto R.;Wadley M.;Hamilton E.;Jaunoo S.;Padwick R.;Sayegh M.;Newton R. C.;Hebbar M.;Farag S. F.;Spearman J.;Hamdan M. F.;D'Costa C.;Blane C.;Giles M.;Peter M. B.;Hirst N. A.;Hossain T.;Pannu A.;El-Dhuwaib Y.;Morrison T. E.;Taylor G. W.;Thompson R. L.;McCune K.;Loughlin P.;Lawther R.;Byrnes C. K.;Simpson D. J.;Mawhinney A.;Warren C.;McKay D.;McIlmunn C.;Martin S.;MacArtney M.;Diamond T.;Davey P.;Jones C.;Clements J. M.;Digney R.;Chan W. M.;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 A. D.;Cassidy J. T.;Boland M.;Burke P.;Nally D. M.;Khogali E.;Shabo W.;Iskandar E.;McEntee G. P.;O'Neill M. A.;Peirce C.;Lyons E. M.;O'Sullivan A. W.;Thakkar R.;Carroll P.;Ivanovski I.;Balfe P.;Lee M.;Winter D. C.;Kelly M. E.;Hoti E.;Maguire D.;Karunakaran P.;Geoghegan J. G.;Martin S. T.;McDermott F.;Cross K. S.;Cooke F.;Zeeshan S.;Murphy J. O.;Mealy K.;Mohan H. M.;Nedujchelyn K.;Fahad Ullah M.;Ahmed I.;Giovinazzo F.;Milburn J.;Prince S.;Brooke E.;Buchan J.;Khalil A. M.;Vaughan E. M.;Ramage M. I.;Aldridge R. C.;Gibson S.;Nicholson G. A.;Vass D. G.;Grant A. J.;Holroyd D. J.;Jones M. A.;Sutton C. M.;O'Dwyer P.;Nilsson F.;Weber B.;Williamson T. K.;Lalla K.;Bryant A.;Carter C. R.;Forrest C. R.;Hunter D. I.;Nassar A. H.;Orizu M. N.;Knight K.;Qandeel H.;Suttie S.;Belding R.;McClarey A.;Boyd A. T.;Guthrie G. J.;Lim P. J.;Luhmann A.;Watson A. J.;Richards C. H.;Nicol L.;Madurska M.;Harrison E.;Boyce K. M.;Roebuck A.;Ferguson G.;Pati P.;Wilson M. S.;Dalgaty F.;Fothergill L.;Driscoll P. J.;Mozolowski K. L.;Banwell V.;Bennett S. P.;Rogers P. N.;Skelly B. L.;Rutherford C. L.;Mirza A. K.;Lazim T.;Lim H. C.;Duke D.;Ahmed T.;Beasley W. D.;Wilkinson M. D.;Maharaj G.;Malcolm C.;Brown T. H.;Shingler G. M.;Mowbray N.;Radwan R.;Morcous P.;Wood S.;Kadhim A.;Stewart D. J.;Baker A. L.;Tanner N.;Shenoy H.;Hafiz S.;De Marchi J. A.;Singh-Ranger D.;Hisham E.;Ainley P.;O'Neill S.;Terrace J.;Napetti S.;Hopwood B.;Rhys T.;Kanavati O.;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.;Rajendran I.;Boal M.;Ritchie J.
2019
Abstract
Background: Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables. Methods: Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set. Results: Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001). Conclusions: The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy.
Laparoscopyc cholecystectomy; day surgery; predictive score
01 Pubblicazione su rivista::01a Articolo in rivista
The cholecystectomy as a day case (CAAD) score: a validated score of preoperative predictors of successful day-case cholecystectomy using the choleS data set / El-Sharkawy, A.M., Tewari, N., Vohra, R.S., Vohra, R.S., Pasquali, S., Kirkham, A.J., Marriott, P., Johnstone, M., Spreadborough, P., Alderson, D., Griffiths, E.A., Fenwick, S., Elmasry, M., Nunes, Q., Kennedy, D., Basit Khan, R., Khan, M.A., Magee, C.J., Jones, S.M., Mason, D., et al.. - In: WORLD JOURNAL OF SURGERY. - ISSN 0364-2313. - 43:8(2019), pp. 1928-1934. [10.1007/s00268-019-04981-5]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1603427
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simulazione ASN
Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione. La simulazione si basa sui dati IRIS e sugli indicatori bibliometrici alla data indicata e non tiene conto di eventuali periodi di congedo obbligatorio, che in sede di domanda ASN danno diritto a incrementi percentuali dei valori. La simulazione può differire dall'esito di un’eventuale domanda ASN sia per errori di catalogazione e/o dati mancanti in IRIS, sia per la variabilità dei dati bibliometrici nel tempo. Si consideri che Anvur calcola i valori degli indicatori all'ultima data utile per la presentazione delle domande.
La presente simulazione è stata realizzata sulla base delle specifiche raccolte sul tavolo ER del Focus Group IRIS coordinato dall’Università di Modena e Reggio Emilia e delle regole riportate nel DM 589/2018 e allegata Tabella A. Cineca, l’Università di Modena e Reggio Emilia e il Focus Group IRIS non si assumono alcuna responsabilità in merito all’uso che il diretto interessato o terzi faranno della simulazione. Si specifica inoltre che la simulazione contiene calcoli effettuati con dati e algoritmi di pubblico dominio e deve quindi essere considerata come un mero ausilio al calcolo svolgibile manualmente o con strumenti equivalenti.
