Evolution in the management of acute cholecystitis in the elderly: population-based cohort study.

ABSTRACT:

Background

Acute cholecystitis is a life-threatening emergency in elderly patients. This population-based cohort study aimed to evaluate the commonly used management strategies for elderly patients with acute cholecystitis as well as resulting mortality and re-admission rates.

Methods

Data from all consecutive elderly patients (≥ 80 years) admitted with acute cholecystitis in England from 1997 to 2012 were captured from the Hospital Episode Statistics database. Influence of management strategies upon mortality was analyzed with adjustment for patient demographics and treatment year.

Results

47,500 elderly patients were admitted as an emergency with acute cholecystitis. On the index emergency admission the majority of patients (n = 42,620, 89.7%) received conservative

SUBMITTER: Wiggins T 

PROVIDER: S-EPMC6132885 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature