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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 | Microstructure and oxygen storage capacity of Sr-modified Pt/CeO_2-ZrO_2 catalysts | Rui Ran a,Jun Fan b,Duan Weng a,a State Key Lab of New Ceramic and Fine Processing,Department of Materials Science and Engineering,Tsinghua University,Beijing 100084,China b The Administrative Centre for China’s Agenda 21,Beijing 100038,China | 2012 | Progress in Natural Science:Materials International2012，22，1： | 5 |
| 3 | Molecular mechanism for the umami taste synergism显示文摘 | ZHANG Feng KLEBANSKY B FINE R M | | 0，，52： | 1 |
| 4 | Evidence for widespread infection of wild rats with hepatitis E virus in the United States显示文摘 | Kabrane-Lazizi Y Fine J B Elm J | 1999 | Am J Trop Med Hyg1999，61，： | 1 |
| 5 | Chemical characterization of fine particle emissions from fireplace combustion of woods grown in the northeastern United States显示文摘 | Fine P M Cass G R Simoneit B R T 2001 | 2001 | Environ Sci Technol2001，35，13： | 1 |
| 6 | Percutaneous removal of benign breastmasses using a vacuum assisted hand-held de vice with ultrasound guidance显示文摘 | Fine R E Boyd B A Whithworth P W | 2002 | Am J Surg2002，184，4： | 1 |
| 7 | Chemical characterization of fine particle emissions from the fireplace combustion of woods grown in the southern United States显示文摘 | Fine P M Cass G R Simoneit B R T 2002 | 2002 | Environ Sci Technol2002，36，7： | 1 |
| 8 | Molecular mechanism for the umami taste synergism显示文摘 | Zhang F Klebansky B Fine RM | 2008 | Proceedings of the National Academy of Sciences2008，105，20： | 1 |
| 9 | Effect of BCG vaccination on childhood tuberculous meningitis and military tuberculosis worldwide:a meta-analysis and assessment of cost-effectiveness显示文摘 | Trunz B B Fine P Dye c | 2006 | Lancet2006，367，9517： | 1 |
| 10 | Pupil-sparing, painless compression of the oculomotor nerve by expanding basilar 'artery aneurysm: a case of ocular pseudomyaschenia 显示文摘 | Ajtai B Fine E J Lincoff N | 2004 | Arch Neurol2004，61，9： | 1 |
| 11 | Chemical Characterization of Fine Particle Emissions from Fireplace Combustion of Woods Grown in the Northeastern United States显示文摘 | Fine P M Cass G R Simoneit B R T | 2001 | Environ Sci Technol2001，35，： | 1 |
| 12 | Modeling tradeoffs in three dimensional concurrent engineering:a goal programming approach显示文摘 | Fine C H Golany B Naseraldin H | 2005 | Journal of Operations Management2005，，23： | 1 |
| 13 | Primary medical management of recurrent aggressive angiomyxoma of the vulva with a gonadotropin-releasing hormone agonist显示文摘 | Fine B A Munoz A K Litz C E | 2001 | Gynecol Oncol2001，81，1： | 1 |
| 14 | Diurnal variations of individual organic compound constituents of ultrafine and accumulation mode particulate matter in the Los Angeles Basin 显示文摘 | Fine P M Chakrabarti B Krudysz M | 2004 | Environmental Science & Technology2004，38，5： | 1 |
| 15 | The protective effects of cool dialysate is dependent on patients predialysis temperature显示文摘 | Fine A Penner B | 1996 | Am J Kidney Dis1996，28，： | 1 |
| 16 | Characterization of fine particle emissions from burning church candles显示文摘 | Fine P M Cass G R Simoneit B R T | 1999 | Environmental Science and Technology1999，33，14： | 1 |
| 17 | Conclusion -drawing, communicator credibility, and anxiety as factors in opinion change 显示文摘 | Fine B J | 1957 | Journal of Abnormal and Social Psychology1957，54，： | 1 |
| 18 | Activation of the PI3K pathway in cancer through inhibition of PTEN by exchange factor P-REX2a显示文摘 | Fine B Hodakoski C Koujak S | 2009 | Science2009，325，： | 1 |
| 19 | Percutaneous removal of benign breast masses using a vacuum-assisted hand held device with ultrasound guidance显示文摘 | Fine R E Boyd B A Whitworth P W | 2002 | Am J Sur2002，184，4： | 1 |
| 20 | Activation of the PI3K path- way in cancer through inhibition of PTEN by exchange factor P-REX2a显示文摘 | Fine B Hodakoski C Koujak S | 2009 | Science2009，325，5945： | 1 |
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