Weekend Admission for Acute Cholangitis Does Not Adversely Impact Clinical or Endoscopic Outcomes

James H. Tabibian, Ju Dong Yang, Todd H. Baron, Sunanda V. Kane, Felicity T Enders, Christopher J. Gostout

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Acute cholangitis (AC) requires prompt diagnosis and treatment for optimal management. Aims: To examine whether a putative “weekend effect” impact outcomes of patients hospitalized for AC. Methods: We conducted a retrospective study of patients admitted with AC between 2009 and 2012. After excluding those not meeting Tokyo consensus criteria for AC, the cohort was categorized into weekend (Saturday–Sunday) and weekday (Monday–Friday) hospital admission and endoscopic retrograde cholangiography (ERC) groups. Primary outcome was length of stay (LOS); secondary outcomes included ERC performance, organ failure, and mortality. Groups were compared with Chi-square and t tests; predictors of LOS were assessed with linear regression. Results: The cohort consisted of 181 patients (mean age 63.1 years, 62.4 % male). Choledocholithiasis was the most common etiology of AC (29.4 %). Fifty-two patients (28.7 %) were admitted on a weekend and 129 (71.3 %) on a weekday. One hundred forty-one patients (78 %) underwent ERC, of which 120 (85 %) were on a weekday. There were no significant differences in baseline characteristics, LOS, proportion undergoing ERC, time to ERC, organ failure, or mortality between weekend and weekday admission groups. Similarly, there were no significant differences between weekend and weekday ERC groups. In multivariate analyses, international normalized ratio (p 

Original languageEnglish (US)
Pages (from-to)53-61
Number of pages9
JournalDigestive Diseases and Sciences
Volume61
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Cholangitis
Cholangiography
Length of Stay
Choledocholithiasis
International Normalized Ratio
Mortality
Tokyo
Chi-Square Distribution
Linear Models
Multivariate Analysis
Retrospective Studies

Keywords

  • Biliary tract diseases
  • Endoscopic treatment
  • Length of stay
  • Quality assurance

ASJC Scopus subject areas

  • Gastroenterology
  • Physiology

Cite this

Weekend Admission for Acute Cholangitis Does Not Adversely Impact Clinical or Endoscopic Outcomes. / Tabibian, James H.; Yang, Ju Dong; Baron, Todd H.; Kane, Sunanda V.; Enders, Felicity T; Gostout, Christopher J.

In: Digestive Diseases and Sciences, Vol. 61, No. 1, 01.01.2016, p. 53-61.

Research output: Contribution to journalArticle

Tabibian, James H. ; Yang, Ju Dong ; Baron, Todd H. ; Kane, Sunanda V. ; Enders, Felicity T ; Gostout, Christopher J. / Weekend Admission for Acute Cholangitis Does Not Adversely Impact Clinical or Endoscopic Outcomes. In: Digestive Diseases and Sciences. 2016 ; Vol. 61, No. 1. pp. 53-61.
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abstract = "Background: Acute cholangitis (AC) requires prompt diagnosis and treatment for optimal management. Aims: To examine whether a putative “weekend effect” impact outcomes of patients hospitalized for AC. Methods: We conducted a retrospective study of patients admitted with AC between 2009 and 2012. After excluding those not meeting Tokyo consensus criteria for AC, the cohort was categorized into weekend (Saturday–Sunday) and weekday (Monday–Friday) hospital admission and endoscopic retrograde cholangiography (ERC) groups. Primary outcome was length of stay (LOS); secondary outcomes included ERC performance, organ failure, and mortality. Groups were compared with Chi-square and t tests; predictors of LOS were assessed with linear regression. Results: The cohort consisted of 181 patients (mean age 63.1 years, 62.4 {\%} male). Choledocholithiasis was the most common etiology of AC (29.4 {\%}). Fifty-two patients (28.7 {\%}) were admitted on a weekend and 129 (71.3 {\%}) on a weekday. One hundred forty-one patients (78 {\%}) underwent ERC, of which 120 (85 {\%}) were on a weekday. There were no significant differences in baseline characteristics, LOS, proportion undergoing ERC, time to ERC, organ failure, or mortality between weekend and weekday admission groups. Similarly, there were no significant differences between weekend and weekday ERC groups. In multivariate analyses, international normalized ratio (p ",
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