| Outcomes following cholecystectomy in pregnant and nonpregnant women. | |
| | |
MedLine Citation:
|
PMID: 19628096 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: This study is the first population-based measurement of outcomes after cholecystectomy during pregnancy. METHODS: We identified all pregnant women who underwent cholecystectomy in the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample, 1996-2006. Outcomes were fetal, maternal, and surgical complications, length of stay (LOS), and hospital cost. Pregnant and nonpregnant women were compared to examine the effects of pregnancy on laparoscopic cholecystectomy outcomes. RESULTS: A total of 9,714 pregnant women underwent cholecystectomy (laparoscopic, 89%). Maternal and fetal complication rates were 4.3% and 5.8%, respectively. Pregnant women who underwent laparoscopic cholecystectomy compared to pregnant women who underwent open procedures had higher rates of surgical (19% vs 10%), maternal (9% vs 4%), and fetal (11% vs 5%) complications; longer LOS (6 vs 4 days); and higher cost ($13,198 vs $9,229), all P < .0001. High-volume surgeons were associated with lower rates of surgical (10% vs 13%; P < .05), maternal (1% vs 14%), and fetal (4% vs 10%) complications; shorter LOS (4 vs 5 days); and lower cost ($8,365 vs $10,350), all P < .0001. Patients with Medicaid coverage were associated with higher rates of surgical complications (13% vs 9%), longer LOS (4.3 vs 3.7 days), and higher cost ($10,403 vs $9,037), all P < .0001. On multivariable analysis, these factors remained independent predictors of outcome. Pregnancy was associated with longer LOS and higher cost. CONCLUSION: Complications of cholecystectomy during pregnancy are significant, with disparities based on modifiable variables. |
| | |
Authors:
|
Sreyram Kuy; Sanziana A Roman; Rani Desai; Julie Ann Sosa |
Related Documents
:
|
493936 - Intestinal obstruction in pregnancy. 1945256 - Respiratory insufficiency due to pneumonia in pregnancy. 9546756 - Maternal exposure to exogenous nitrogen compounds and complications of pregnancy. 1977646 - Comparative study of filshie clip and pomeroy method for postpartum sterilization. 11877776 - Pregnancy outcomes after first trimester exposure to phentermine/fenfluramine. 19791626 - Pre- and postnatal women's leisure time physical activity patterns: a multilevel longit... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
|
Title: Surgery Volume: 146 ISSN: 1532-7361 ISO Abbreviation: Surgery Publication Date: 2009 Aug |
Date Detail:
|
Created Date: 2009-07-24 Completed Date: 2009-08-18 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0417347 Medline TA: Surgery Country: United States |
Other Details:
|
Languages: eng Pagination: 358-66 Citation Subset: AIM; IM |
Affiliation:
|
Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, CT 06520, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Biliary Tract Diseases / economics, surgery Cholecystectomy* / adverse effects, economics Cholecystectomy, Laparoscopic / adverse effects, economics Female Humans Length of Stay Middle Aged Pregnancy Pregnancy Complications / economics, surgery* Socioeconomic Factors Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Proteome and system ontology of hemorrhagic shock: exploring early constitutive changes in postshock...
Next Document: Is the growth in laparoscopic surgery reproducible with more complex procedures?