View : 55 Download: 0

Clinical characteristics of patients with newly developed acute cholecystitis after admission to the intensive care unit

Title
Clinical characteristics of patients with newly developed acute cholecystitis after admission to the intensive care unit
Authors
Kim, Soo JungLee, Seok JeongLee, Su HwanLee, Jin HwaChang, Jung HyunRyu, Yon Ju
Ewha Authors
장중현이진화류연주김수정이수환
SCOPUS Author ID
장중현scopus; 이진화scopus; 류연주scopus; 김수정scopus
Issue Date
2019
Journal Title
AUSTRALIAN CRITICAL CARE
ISSN
1036-7314JCR Link

1878-1721JCR Link
Citation
AUSTRALIAN CRITICAL CARE vol. 32, no. 3, pp. 223 - 228
Keywords
Acute acalculous cholecystitisAcute calculous cholecystitisAcute cholecystitisIntensive care unitComplications
Publisher
ELSEVIER SCIENCE INC
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Document Type
Article
Abstract
Introduction: Critical care patients have many risk factors for acute cholecystitis (AC). However, less data are available regarding newly developed AC in critically ill patients. Objectives: To investigate the clinical features of AC occurring in critically ill patients after admission to an intensive care unit (ICU). Methods: We performed a retrospective cohort study from January 2006 to August 2016 at a tertiary care university hospital. We included patients diagnosed with AC with or without gallstones after ICU admission. All cases of AC were confirmed by gastroenterologists or general surgeons. We excluded patients with AC diagnosed before or at the time of ICU admission. Results: A total of 38 patients were diagnosed with AC after ICU admission between January 2006 and August 2016. Seventeen (44.7%) had acute acalculous cholecystitis, while 21 (55.3%) had acute calculous cholecystitis. The median age was 73 years (interquartile range = 63-81 years), and 22 (57.9%) patients were male. The most common reason for ICU admission was pneumonia or sepsis. The median interval from ICU admission to diagnosis of AC was 11 days (interquartile range = 4.8-22.8 days). Before AC diagnosis, almost 90% of patients used total parenteral nutrition, 68% used opioids, 76% were mechanically ventilated, and 42% received vasoactive drugs. More than half of patients underwent cholecystectomy, and all surgically resected gallbladders had pathology results for cholecystitis. Gangrenous cholecystitis was observed in five patients with acute calculous cholecystitis. The overall mortality was 42.1%, and 1/3 of these deaths were directly associated with AC. The average length of stay in the ICU and hospital was 26.5 and 44.5 days, respectively. Conclusion: The development of AC in the ICU should be carefully monitored, especially in patients who have been infected and admitted to the ICU for more than 10 days. Proper diagnosis and treatment at a critical time could be lifesaving. (C) 2018 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
DOI
10.1016/j.aucc.2018.03.006
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE