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| 1 | Factors associated with time to laparoscopic cholecystectomy for acute cholecystitis显示文摘AIM: To determine patient and process of care factors associated with performance of timely laparoscopic cholecystectomy for acute cholecystitis. METHODS: A retrospective medical record review of 88 consecutive patients with acute cholecystitis was conducted. Data collected included demographic data, co-morbidities, symptoms and physical findings at presentation, laboratory and radiological investigations, length of stay, complications, and admission service (medical or surgical). Patients not undergoing cholecystectomy during this hospitalization were excluded from analysis. Hierarchical generalized linear models were constructed to assess the association of pre-operative diagnostic procedures, presenting signs, and admitting service with time to surgery.RESULTS: Seventy cases met inclusion and exclusion criteria, among which 12 were admitted to the medical service and 58 to the surgical service. Mean ± SD time to surgery was 39.3 ± 43 h, with 87% of operations performed within 72 h of hospital arrival. In the adjusted models, longer time to surgery was associated with number of diagnostic studies and endoscopic retrograde cholangio-pancreatography (ERCP, P = 0.01) as well with admission to medical service without adjustment for ERCP (P < 0.05). Patients undergoing both magnetic resonance cholangiopancreatography (MRCP) and computed tomography (CT) scans experienced the longest waits for surgery. Patients admitted to the surgical versus medical service underwent surgery earlier (30.4 ± 34.9 vs 82.7 ± 55.1 h, P < 0.01), had less post-operative complications (12% vs 58%, P < 0.01), and shorter length of stay (4.3 ± 3.4 vs 8.1 ± 5.2 d, P < 0.01).CONCLUSION: Admission to the medical service and performance of numerous diagnostic procedures, ERCP, or MRCP combined with CT scan were associated with longer time to surgery. Expeditious performance of ERCP and MRCP and admission of medically stable patients with suspected cholecystitis to the surgical service to speed up time to surgery should be considered. | Chris N Daniak David Peretz Jonathan M Fine Yun Wang Alan K Meinke William B Hale | 2008 | World Journal of Gastroenterology2008，14，7： | 13 |
| 2 | Standard forward-viewing colonoscopy versus full-spectrum endoscopy: an international, multicentre, randomised, tandem colonoscopy trial显示文摘 | Ian M Gralnek Peter D Siersema Zamir Halpern Ori Segol Alaa Melhem Alain Suissa Erwin Santo Alan Sloyer Jay Fenster Leon M G Moons Vincent K Dik Ralph B D’Agostino Douglas K Rex | 2014 | Lancet Oncology2014，，3： | 6 |
| 3 | Astrocyte elevated gene-1 regulates hepatocellular carcinoma development and progression显示文摘 | Yoo Byoung Kwon Emdad Luni Su Zao-zhong Villanueva Augusto Chiang Derek Y Mukhopadhyay Nitai D Mills Alan Scott Waxman Samuel Fisher Robert A Llovet Josep M Fisher Paul B Sarkar Devanand | 2009 | Journal of Clinical Investigation2009，，3： | 2 |
| 4 | Contiuous and bilevel positive airway pressure in the treatment of acute cardiogenic pulmonary edema 显示文摘 | Joshua M Kosowsky M D Alan B | 2000 | Am J Emerg Med2000，18，1： | 1 |
| 5 | 3D reconstruction of the carotid artery from two views using a single centerline显示文摘 | Kenneth R H Alan M W Peter B N | 2004 | International Congress Series2004，，： | 1 |
| 6 | 查看详情显示文摘 | Christopher A S Rasmus H Arfa R.M Warwick B D Gillian M S Royston G Alan J D | | 0，，01： | 1 |
| 7 | Application of the analytical hierarchy process to establish health care waste management systems that minimise infection risks in developing countries 显示文摘 | Alan C Brent David E C Rogers Tsaletseng S M Ramabitsa-Siimane Mark B Rohwer | 2007 | European Journal of Operational Research 1812007，，： | 1 |
| 8 | Economic growth and the en- vironment 显示文摘 | Grossman Gene M Krueger Alan B | 1995 | Quarterly Journal of Economics1995，，11： | 1 |
| 9 | Fabrication of polyvinyl alcohol coated polystyrene shells显示文摘 | Alan K B John Z G Eben M | 1987 | Journal of Vacuum Science and Technology1987，5，6： | 1 |
| 10 | Mercury(11) immobilized on car-bon nanotubes: synthesis, characterization and redox properties 显示文摘 | ALAN M B MIAO W COLIN L R | 2000 | Langmuir2000，16，14： | 1 |
| 11 | Reference potential calibration and vohammetry atmacrodisk electrodes of metallocene derivatives in the ionic liquid 显示文摘 | Victoria M H Andrew W A M Alan M B | 2002 | Anal Chem2002，74，： | 1 |
| 12 | Economic Growth and the Environment显示文摘 | Gene M G Alan B K | 1995 | Quarterly Journal of Economics1995，110，6： | 1 |
| 13 | A role for nick-el in osmotic adjustment in Drought-stressed plants of the nickel hyper-accumulator Stackhousia tryonii Bailey显示文摘 | Naveen P Bhatia Alan J M Baker Kerry B Walsh | 2005 | Planta2005，，10： | 1 |
| 14 | Surface properties of CuC12/AC catalysts with various Cu contents: XRD, SEM, TG/DSC and CO-TPD analyses显示文摘 | Han M S Lee B G Alan B S | 2003 | Applied Surface Science2003，211，14： | 1 |
| 15 | Extending surface temperature and emissivity retrieval to the mid-infrared(3 -5 Ixm)using the Multispectral Thermal Imager (MTI) 显示文摘 | Amit M Lee K B Alan R G | 2005 | Remote Sensing of Environment2005，98，23： | 1 |
| 16 | Solubilities of bone mineral from archaeological sites: The recrystallization window 显示文摘 | Franeesco B Alan M Stephen W | 2004 | J Archaeol Sci2004，31，： | 1 |
| 17 | Effects of alteplase beyond 3 h after stroke in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET): a placebo-controlled randomised trial显示文摘 | Stephen M Davis Geoffrey A Donnan Mark W Parsons Christopher Levi Kenneth S Butcher Andre Peeters P Alan Barber Christopher Bladin Deidre A De Silva Graham Byrnes Jonathan B Chalk John N Fink Thomas E Kimber David Schultz Peter J Hand Judith Frayne Graeme | 2008 | Lancet Neurology2008，，4： | 1 |
| 18 | In vivo tracking of platelets:Circulating degranulated platelets rapidly lose surface P-selectin but continue to circulate and function显示文摘 | Marc R B Herbert B H | 1996 | Med Sci1996，93，11： | 1 |
| 19 | Fabrication of polyvinyl alcohol coated polystyrene shells显示文摘 | ALAN K B JOHN Z G EBEN M | 1987 | J Vac Sci Technol1987，5，6： | 1 |
| 20 | An experi- mental precooler for airbreathing rocket engines 显示文摘 | JAMES J M CHRISTOPHER M H ALAN B | 2001 | JBIS2001，54，： | 1 |
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