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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.; 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.. - 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.
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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.