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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 | Inflammatory bowel disease in Hubei Province of China显示文摘InflammatoryboweldiseaseinHubeiProvinceofChinaXIABing1,S.SHIVANANDA2,ZHANGGuiShui1,YIJiYun1,JBACRUSIUS3andASPEN~A3Subjecthe... | XIA Bing 1, S. SHIVANANDA 2, ZHANG Gui Shui 1, YI Ji Yun 1, JBA CRUSIUS 3 and AS PE N~ A 3 | 1997 | World Journal of Gastroenterology1997，3，2： | 12 |
| 3 | Nucleation and Growth Behavior of Chromium Nitride Film Deposited on Various Substrates by Magnetron Sputtering显示文摘 | Kyung H N Yun M J | 2003 | Surf Coat Technol2003，171，： | 1 |
| 4 | Injectable peramivir mitigates disease and promotes survival in ferrets and mice infected with the highly virulent influenza virus,A/Vietnam/1203/04 (H5N1)显示文摘 | Yun N E Linde N S Zacks M A | 2008 | Virology2008，374，1： | 1 |
| 5 | Protective effects of hyperoside against carbon tetrachloride-induced liver damage in mice 显示文摘 | CHOI J H KIM D W YUN N | 2011 | J Nat Prod2011，74，5： | 1 |
| 6 | Hospital-acquired pressure ulcers:results from the national medicare patient safety monitoring system study显示文摘 | Coutney H Lyder N D Yun W et a1 | 2012 | J Am Geriatric Soc2012，60，： | 1 |
| 7 | Structural changes during development in the amylose and amylopectin fraction separate by precipitation with concanavalin A of starches from maize genotypes显示文摘 | Yun S H Matheson N K | 1990 | Carbohyd Res1990，270，： | 1 |
| 8 | Effect of a boron nitride interphase that debonds between the inter- phase and the matrix in SiC/SiC composites 显示文摘 | MORSCHER G N YUN H M DICARLO J A | 2004 | Journal of the A- merican Ceramic Society2004，87，87： | 1 |
| 9 | Electrochemical impedance measurement of prostate cancer cells using carbon nanotube array electrodes in a microfluidic channel 显示文摘 | Yun Y Dong Z Y Shanov V N | 2007 | Nanotechnology2007，18，46： | 1 |
| 10 | An essential role for NF -κB in the cardioadaptive response to ischemia 显示文摘 | MORGAN E N BOYLE E M Jr YUN W | 1999 | Ann Thorac Surg1999，68，2： | 1 |
| 11 | Revolutionizing biodegradable metals 显示文摘 | Yun Y H Dong Z Y Lee N | 2009 | Materials Today2009，12，10： | 1 |
| 12 | Bioleaching of copper from waste printed circuit boards by bacterial consortium en- riched from acid mine drainage 显示文摘 | YUN X WU P X ZHU N W | 2010 | J Hazardous Mater2010，184，13： | 1 |
| 13 | Structure and chromosomal localization of the human renal kallikrein gene显示文摘 | Evans BA Yun ZX Close JA Tregear GW Kitamura N Nakanishi S | 1988 | Biochemistry1988，27，： | 1 |
| 14 | pancreatohlastoma is associated wih chromosome 11p loss of heterozygosity and IGF2 overexpression 显示文摘 | Kerr N J Chun YH Yun K | 2002 | Med Pediatroncol2002，39，7： | 1 |
| 15 | Preparation of cellulose triacetate/cellulose acetate (cta/ca)-based membranes for forward osmosis显示文摘 | Nguyen T P N Yun E-T Kim I-C | 2013 | Journal of Membrane Science2013，433，： | 1 |
| 16 | Annealing effects on creep of polyerystalline alumina-based fibers显示文摘 | Goldspy J C Yun H M Morse her G N | 1998 | Mater Sei Eng A1998，242，12： | 1 |
| 17 | Toughening of carbon fiberelxXy composite by inserting polysulfone film to form morphology st,t'ctrum 显示文摘 | Yun N G Won Y G Kim S C | 2004 | Polymer2004，45，20： | 1 |
| 18 | Protective role of heme oxygenase-1 aga- inst liver damage caused by hepatic ischemia and reperfusion in rats 显示文摘 | Yun N Eum HA Lee SM | 2010 | Antioxid Redox Signal2010，13，10： | 1 |
| 19 | SO2-induced neu- rotoxicity is mediated by cyelooxygenases-2-derived prostaglandin E2 and its downstream signaling path- way in rat hippoeampa显示文摘 | Sang N Yun Y Yao GY | 2011 | Toxicol Sci2011，124，2： | 1 |
| 20 | Exact static element stiffness matrices of non - symmetric thin - walled curved beams 显示文摘 | Kim N I Yun H T Kim M Y | 2004 | International Journal for Numeri- cal Methods in Engineering2004，61，2： | 1 |
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