Browsing by Author "Rodriguez, Javier"

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    Risk factors for readmission after a cholecystectomy: a case-control study
    (2024) Garcia, Daniel; Pastore, Antonia; Rodriguez, Javier; Crovari, Fernando; Cerda, Jaime; Rebolledo, Patricia; Achurra, Pablo; Vinuela, Eduardo; Martinez, Jorge; Dib, Martin; Briceno, Eduardo
    Objective: The aim of this study was to assess the risk factors associated with 30 -day hospital readmissions after a cholecystectomy. Methods: We conducted a case-control study, with data obtained from UC-Christus from Santiago, Chile. All patients who underwent a cholecystectomy between January 2015 and December 2019 were included in the study. We identified all patients readmitted after a cholecystectomy and compared them with a randomized control group. Univariate and multivariate analyses were conducted to identify risk factors. Results: Of the 4866 cholecystectomies performed between 2015 and 2019, 79 patients presented 30 -day hospital readmission after the surgical procedure (1.6%). We identified as risk factors for readmission in the univariate analysis the presence of a solid tumor at the moment of cholecystectomy (OR = 7.58), high pre -operative direct bilirubin (OR = 2.52), high pre -operative alkaline phosphatase (OR = 3.25), emergency admission (OR = 2.04), choledocholithiasis on admission (OR = 4.34), additional surgical procedure during the cholecystectomy (OR = 4.12), and post -operative complications. In the multivariate analysis, the performance of an additional surgical procedure during cholecystectomy was statistically significant (OR = 4.24). Conclusion: Performing an additional surgical procedure during cholecystectomy was identified as a risk factor associated with 30 -day hospital readmission.