dc.creator | Bass, Gary Alan | es |
dc.creator | Gillis, Amy | es |
dc.creator | Cao, Yang | es |
dc.creator | Mohseni, Shahin | es |
dc.creator | Tallón Aguilar, Luis | es |
dc.date.accessioned | 2022-09-16T15:10:29Z | |
dc.date.available | 2022-09-16T15:10:29Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Bass, G.A., Gillis, A., Cao, Y., Mohseni, S. y Tallón Aguilar, L. (2022). Patterns of prevalence and contemporary clinical management strategies in complicated acute biliary calculous disease: an ESTES ‘snapshot audit’ of practice. European Journal of Trauma and Emergency Surgery, 48 (1), 23-35. | |
dc.identifier.issn | 1863-9933 | es |
dc.identifier.issn | 1863-9941 | es |
dc.identifier.uri | https://hdl.handle.net/11441/137154 | |
dc.description.abstract | Background Acute complications of biliary calculi are common, morbid, and complex to manage. Variability exists in the
techniques utilized to treat these conditions at an individual surgeon and unit level.
Aim To identify, through an international prospective nonrandomized cohort study, the epidemiology and areas of practice
variability in management of acute complicated calculous biliary disease (ACCBD) and to correlate them against reported
outcomes.
Methods A preplanned analysis of the European Society of Trauma and Emergency Surgery (ESTES) 2018 Complicated
Biliary Calculous Disease audit was performed. Patients undergoing emergency hospital admission with ACCBD between
1 October 2018 and 31 October 2018 were included. All eligible patients with acute complicated biliary calculous disease
were recorded contemporaneously using a standardized predetermined protocol and a secure online database and followed up through to 60 days from their admission.
Endpoints A two-stage data collection strategy collecting patient demographics, details of operative, endoscopic and radio logic intervention, and outcome metrics. Outcome measures included mortality, surgical morbidity, ICU stay, timing of
operative intervention, and length of hospital stay.
Results Three hundred thirty-eight patients were included, with a mean age of 65 years and 54% were female. Diagnosis at
admission were: cholecystitis (45.6%), biliary pancreatitis (21%), choledocholithiasis with and without cholangitis (13.9%
and 18%). Index admission cholecystectomy was performed in just 50% of cases, and 28% had an ERCP performed. Mor bidity and mortality were low.
Conclusion This frst ESTES snapshot audit, a purely descriptive collaborative study, gives rich ‘real world’ insights into
local variability in surgical practice as compared to international guidelines, and how this may impact upon outcomes. These
granular data will serve to improve overall patient care as well as being hypothesis generating and inform areas needing
future prospective study. | es |
dc.format | application/pdf | es |
dc.format.extent | 13 | es |
dc.language.iso | eng | es |
dc.publisher | SPRINGER | es |
dc.relation.ispartof | European Journal of Trauma and Emergency Surgery, 48 (1), 23-35. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Cholecystitis | es |
dc.subject | Clinical practice guidelines | es |
dc.subject | Cholecystectomy | es |
dc.subject | Emergency surgery | es |
dc.title | Patterns of prevalence and contemporary clinical management strategies in complicated acute biliary calculous disease: an ESTES ‘snapshot audit’ of practice | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.publisherversion | https://link.springer.com/article/10.1007/s00068-020-01433-x | es |
dc.identifier.doi | 10.1007/s00068-020-01433-x | es |
dc.journaltitle | European Journal of Trauma and Emergency Surgery | es |
dc.publication.volumen | 48 | es |
dc.publication.issue | 1 | es |
dc.publication.initialPage | 23 | es |
dc.publication.endPage | 35 | es |