Seasonal Variation in Acute Cholecystitis: An Analysis of Cholecystectomies Spanning Three Decades

Khan, Muhammad Sohaib; Shahzad, Noman; Arshad, Sumaiyya; Shariff, Amir Hafeez

doi:10.1016/j.jss.2019.08.025

Cited by 10 publications

(11 citation statements)

References 28 publications

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“…In 2012, the US reported that 215,995 patients were diagnosed with acute cholecystitis, resulting in a direct cost of US $9.3 billion. 1 In the UK, acute cholecystitis accounts for approximately one‐third of all unplanned general surgical admissions. Historically, UK centers have reported a variable percentage of units able to perform laparoscopic cholecystectomy to these patients in the first 10 d of presentation, ranging from 0% –35%.…”

Section: Introductionmentioning

confidence: 99%

“…Thousands of people develop symptoms of acute cholecystitis annually across the world, with a resulting high management cost. In 2012, the US reported that 215,995 patients were diagnosed with acute cholecystitis, resulting in a direct cost of US $9.3 billion 1 . In the UK, acute cholecystitis accounts for approximately one‐third of all unplanned general surgical admissions.…”

Section: Introductionmentioning

confidence: 99%

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Effect of the COVID‐19 Pandemic on the Management of Acute Cholecystitis and Assessment of the Crisis Approach: A Multicenter Experience in Egypt

Fouad

Rezk

Saber

et al. 2021

Asian J Endoscop Surgery

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Introduction The covid‐19 pandemic has had a drastic impact on all medical services. Acute cholecystitis is a serious condition that accounts for a considerable percentage of general surgical acute admissions. Therefore, the Royal College of Surgeons' Commissioning guidance' recommended urgent admission to secondary care and early cholecystectomy. During the first wave of hospital admissions associated with COVID‐19, most guidelines recommended conservative treatment in order to limit the admission rates and free up spaces for COVID‐19‐infected patients. However, reviews of this approach have not been widely done to assess the results and, in turn, planning our future management approach when future pressures on in‐patient admissions are inevitable. Methods Our study included all acute cholecystitis patients who needed surgical intervention in one Centre in the UK over three distinct periods (pre‐COVID‐19, during the first lockdown, and lockdown ease). Comparison between these groups were done regarding intraoperative and postoperative results. Results The conservative management led to a high rate of readmission. Moreover, delayed cholecystectomy was associated with increased operative difficulties such as extensive adhesions, intraoperative blood loss, and/or complicated gall bladder pathologies such as perforated or gangrenous gall bladder (29.9%, 16.7%, and 24.8%, respectively). The resulting postoperative complications of surgical and nonsurgical resulted in a longer hospital stay (13.5 d). Conclusion The crisis approach for acute cholecystitis management failed to deliver the hoped outcome. Instead, it backfired and did the exact opposite, leading to longer hospital stays and extra burden to the patient and the healthcare system.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of the COVID‐19 Pandemic on the Management of Acute Cholecystitis and Assessment of the Crisis Approach: A Multicenter Experience in Egypt

Fouad

Rezk

Saber

et al. 2021

Asian J Endoscop Surgery

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“…In addition, seasonal variations in intussusception suggest that infectious or climatic conditions contribute to its pathogenesis [4,[6][7][8]. Epidemiological similarities, such as seasonality, may provide clues to the links between surgical conditions and communicable diseases [9,10].…”

Section: Introductionmentioning

confidence: 99%

Decreased Incidence of Pediatric Intussusception during COVID-19

et al. 2021

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Coronavirus disease 2019 (COVID-19) changed the epidemiology of various diseases. The present study retrospectively investigates the epidemiologic and clinical changes in pediatric intussusception for ages ≤ 7 years before (February 2019–January 2020) and after (February 2020–January 2021) the COVID-19 outbreak in a single pediatric emergency department of a university-affiliated tertiary hospital. The incidence of communicable diseases—defined as infectious diseases with the potential for human-to-human transmission via all methods, non-communicable diseases, and intussusception were decreased following the COVID-19 outbreak (15,932 to 3880 (24.4%), 12,994 to 8050 (62.0%), and 87 to 27 (31.0%), respectively). The incidence of intussusception correlated significantly with the change in incidence of communicable diseases (Poisson log-linear regression, odds ratio = 2.15, 95% CI = 1.08–4.26, and p = 0.029). Compared with the pre-pandemic period, patients of the pandemic period showed higher proportions of pathologic leading point (PLP) and hospitalization (14.8% vs. 2.3% and 18.5% vs. 4.6%, respectively), lower base excesses (−4.8 mmol/L vs. −3.6 mmol/L), and higher lactate concentrations (1.7 mmol/L vs. 1.5 mmol/L). The incidence of pediatric intussusception decreased after the COVID-19 pandemic. This reduced incidence may be related to the reduced incidence of communicable diseases. However, the proportions of more severe diseases and PLPs were higher after the COVID-19 pandemic.

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“…For example, cardiac arrest and asthma have been reported to be most common in winter [10,11]. Similarly, several studies have reported that the frequency of acute appendicitis was higher in summer [12,13], and some have reported that admissions for diverticulitis and acute cholecystitis were more common in summer [12,14,15]. However, seasonal variations in the severity of acute abdomen have been reported less frequently, especially in Japan.…”

Section: Introductionmentioning

confidence: 99%

Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis

Yoshimoto

Umemura

Fujii

et al. 2021

JPM

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The seasonal incidence of acute abdomens, such as appendicitis, is reportedly more common in summer but is reported less frequently in Asia. Additionally, seasonal variations in the severity of acute abdomens have been evaluated insufficiently. This study evaluated the seasonal variations in the incidence and severity of acute abdomens in Japan. This retrospective observational study used a multicenter database containing data from 42 acute hospitals in Japan. We included all patients diagnosed with acute appendicitis, diverticulitis, cholecystitis, and cholangitis between January 2011 and December 2019. Baseline patient data included admission date, sequential organ failure assessment score, presence of sepsis, and disseminated intravascular coagulation. We enrolled 24,708 patients with acute abdomen. Seasonal admissions for all four acute abdominal diseases were the highest in summer [acute appendicitis, (OR = 1.35; 95% CI = 1.28–1.43); diverticulitis, (OR = 1.23; 95% CI = 1.16–1.31; cholecystitis (OR = 1.23; 95% CI = 1.11–1.36); and cholangitis (OR = 1.23; 95% CI = 1.12–1.36)]. The proportion of patients with sepsis and disseminated intravascular coagulation as well as the total SOFA score for each disease, did not differ significantly across seasons. Seasonal variations in disease severity were not observed.

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Seasonal Variation in Acute Cholecystitis: An Analysis of Cholecystectomies Spanning Three Decades

Abstract: Seasonal variation in acute cholecystitis: An analysis of Seasonal variation in acute cholecystitis: An analysis of cholecystectomies spanning three decades cholecystectomies spanning three decades

Cited by 10 publications

References 28 publications

Effect of the COVID‐19 Pandemic on the Management of Acute Cholecystitis and Assessment of the Crisis Approach: A Multicenter Experience in Egypt

Effect of the COVID‐19 Pandemic on the Management of Acute Cholecystitis and Assessment of the Crisis Approach: A Multicenter Experience in Egypt

Decreased Incidence of Pediatric Intussusception during COVID-19

Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis

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