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| 1 | Operative complications and economic outcomes of cholecystectomy for acute cholecystitis显示文摘BACKGROUND Recent management of acute cholecystitis favors same admission(SA)or emergent cholecystectomy based on overall shorter hospital stay and therefore cost savings.We adopted the practice of SA cholecystectomy for the treatment of acute cholecystitis at our tertiary care center and wanted to evaluate the economic benefit of this practice.We hypothesized that the existence of complications,particularly among patients with a higher degree of disease severity,during SA cholecystectomy could negate the cost savings.AIM To compare complication rates and hospital costs between SA vs delayed cholecystectomy among patients admitted emergently for acute cholecystitis.METHODS Under an IRB-approved protocol,complications and charges for were obtained for SA,later after conservative management(Delayed),or elective cholecystectomies over an 8.5-year period.Patients were identified using the acute care surgery registry and billing database.Data was retrieved via EMR,operative logs,and Revenue Cycle Operations.The severity of acute cholecystitis was graded according to the Tokyo Guidelines.TG18 categorizes acute cholecystitis by Grades 1,2,and 3 representing mild,moderate,and severe,respectively.Comparisons were analyzed withχ2,Fisher’s exact test,ANOVA,ttests,and logistic regression;significance was set at P<0.05.RESULTS Four hundred eighty-six(87.7%)underwent a SA while 68 patients(12.3%)received Delayed cholecystectomy.Complication rates were increased after SA compared to Delayed cholecystectomy(18.5%vs 4.4%,P=0.004).The complication rates of patients undergoing delayed cholecystectomy was similar to the rate for elective cholecystectomy(7.4%,P=0.35).Mortality rates were 0.6%vs 0%for SA vs Delayed.Patients with moderate disease(Tokyo 2)suffered more complications among SA while none who were delayed experienced a complication(16.1%vs 0.0%,P<0.001).Total hospital charges for SA cholecystectomy were increased compared to a Delayed approach($44500±$59000 vs$35300±$16700,P=0.019).The relative risk of developing a complication was 4.2x[95%confidence interval(CI):1.4-12.9]in the SA vs Delayed groups.Among eight patients(95%CI:5.0-12.3)with acute cholecystitis undergoing SA cholecystectomy,one patient will suffer a complication.CONCLUSION Patients with Tokyo Grade 2 acute cholecystitis had more complications and increased hospital charges when undergoing SA cholecystectomy.This data supports a selective approach to SA cholecystectomy for acute cholecystitis. | Christopher P Rice Krishnamurthy B Vaishnavi Celia Chao Daniel Jupiter August B Schaeffer Whitney R Jenson Lance W Griffin William J Mileski | 2019 | World Journal of Gastroenterology2019，25，48： | 8 |
| 2 | 卒中介入治疗培训指南:国际多学会共识文件显示文摘1背景
缺血性卒中是全球人口死亡和残疾的首要原因。很多急性大血管闭塞(emergent large vesselocclusion,ELVO)患者都会遗留长期残疾。事实上,这些颅内大动脉闭塞经常会导致大面积脑损伤,进而造成患者死亡或严重致残。 | Lavine SD Cockroft K Hoh B Bambakidis N Khalessi AA Woo H Riina H Siddiqui A Hirsch JA Chong W Rice H Wenderoth J Mitchell P Coulthard A Signh TJ Phatorous C Khangure M Klurfan P ter Brugge K Iancu D Gunnarsson T Pongpech S Rodesch G Soderman M Taylor A Krings T Orbach D Picard L Suh DC Zheng HQ Jansen O Muto M Szikora I Pierot L Brouwer P Gralla J Renowden S Andersson T Fiehler J Turjman F White P Januel AC Spelle L Kulcsar Z Chapot R Biondi A Dima S Taschner C Szajner M Krajina A Sakai N Matsumaru Y Yoshknura S Ezura M Fujinaka T Iihara K Ishii A Higashi T Hirohata M Hyodo A Ito Y Kawanishi M Kiyosue H Kobayashi E Kobayashi S Kuwayama N Matsumoto Y Miyachi S Murayama Y Nagata I Nakahara I Nemoto S Niimi Y Oishi H Satomi J Satow T Sugiu K Tanaka M Terada T Yamagami H Diaz O Lylyk P Jayaraman MV Patsalides A Gandhi CD Lee SK Abruzzo T Albani B Ansari SA Arthur AS Baxter BW Bulsara KR Chen M Almandoz JE Fraser JF Heck DV Hetts SW Hussain MS Klucznik RP Leslie-Mawzi TM Mack WJ McTaggart RA Meyers PM Mocco J Prestigiacomo CA Pride GL Rasmussen PA Starke RM Sunenshine PJ Tarr RW Frei DF Pabo M Nogueira RG Zaidat OO Jovin T Linfante I Yavagal D Liebeskind D Novakovic R Pongpech S 许岩 孙瑞 郭芮兵 | 2017 | 国际脑血管病杂志2017，25，5： | 2 |
| 3 | T2NOM0 esophageal cancer 显示文摘 | Rice T W Mason D P Murthy S C | 2007 | J Thorac Cardiovasc Surg2007，133，： | 1 |
| 4 | Conditions for the localization of the deformation in pressure sensitive dilatant materials显示文摘 | RUDNICKI J W RICE J R | 1975 | Journal of the Mechanics and Physics of Solids1975，23，： | 1 |
| 5 | Denitrification in a tallgrass prairie landscape显示文摘 | Gtoffman P M Rice C W Tiedje J M | 1993 | Ecology1993，74，： | 1 |
| 6 | The Effect of Ceramic Fiber Coatings on the Room-Temperature Mechanical Behavior of Ceramic?Fiber Composites显示文摘 | R W Rice J R Spann D Lewis | 1984 | Ceramic Engineering and Science Proceedings1984，5，78： | 1 |
| 7 | Management of Antibiotic Residues From Agricultural Sources:Use of Composting to Reduce Chlortetracycline Residues in Beef Manure From Treated Animals显示文摘 | ARIKAN O MULBRY W RICE C | | 0，，02： | 1 |
| 8 | No Significant Association of 14 Candidate Genes With Schizophrenia in a Large European Ancestry Sample: Implications for Psychiatric Genetics显示文摘 | Sanders Alan R Duan Jubao Levinson Douglas F Shi Jianxin He Deli Hou Cuiping Burrell Gregory J Rice John P Nertney Deborah A Olincy Ann Rozic Pablo Vinogradov Sophia Buccola Nancy G Mowry Bryan J Freedman Robert Amin Farooq Black Donald W | 2008 | The American Journal of Psychiatry2008，，4： | 1 |
| 9 | Supercritical fluid extraction-oxi- dation technology to remediate PCB-contaminated soils/sediments: An economic analysis显示文摘 | Zhou W Aniteseu G Rice P A | 2004 | Environmental Progress2004，23，3： | 1 |
| 10 | Phosohorus load reductions under best management practices for sugarcane croppingsystems in the Everglades agricultural area显示文摘 | RICE R W IZUNO F T GARCIA R M | 2002 | Agriculture Water Management2002，56，1： | 1 |
| 11 | Disinfection residual measurement methods显示文摘 | G Gordan W J Cooper R G Rice | 1987 | AWWA RF Denver1987，，： | 1 |
| 12 | Familial resemblance for VO2max in the sedentary state:the HERITAGE family study 显示文摘 | Bouchard C Daw E W Rice T | 1998 | Med Sci sports Exerc1998，30，2： | 1 |
| 13 | Semiparametric estimates of the relation between weather and electricity sales显示文摘 | ENGLE R F GRANGER C W J RICE J | 1986 | Journal of the American Statistical Association1986，81，： | 1 |
| 14 | Conditions for the localization of deformation inpressure-sensitive dilatant materials显示文摘 | Rudnicki J W Rice J R | 1975 | Joumal of the Mechanics and Physics of Solids1975，23，： | 1 |
| 15 | Carbon and nitrogen mineralization as affected by drying and wetting cycles显示文摘 | Mikha M M Rice C W Milliken G A | 2005 | Soil Biology - Bi- ochemistry2005，37，2： | 1 |
| 16 | Use of Physician Education and Computer Alert to Improve Targeted Use of Gastroprotection Among NSAID Users显示文摘 | Cot6 GA Rice JP Bulsiewicz W | 2008 | American Journal of Gastroenterology2008，103，5： | 1 |
| 17 | Cyclophilin : a specific eytosolic binding protein for eyelosporin A显示文摘 | HANDSCHUMACHER R E HARDING M W RICE J | 1984 | Science1984，226，4674： | 1 |
| 18 | Variation in enteral nutrition delivery in mechanically ventilated patients显示文摘 | Rice T W Swope T Bozeman S | 2005 | Nutrition2005，21，78： | 1 |
| 19 | Qualified Audit Opinions and Auditor Switching显示文摘 | Chow C W S J Rice | 1982 | The Accounting Review1982，，4： | 1 |
| 20 | 显示文摘 | Rice A W Bendelius A R | 1966 | Ind Eng Chem Fundam1966，5，： | 1 |
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