Adherence to the clinical practice guidelines and its outcome in the management of cholecystitis in Far Eastern University - Dr. Nicanor Reyes Medical Foundation Medical Center / Rayner M. Baloloy, Jose Ravelo T. Bartolome and Jennifer Christy C. Lorenzo.

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Language: english Publication details: Fairview, Quezon City: Department of Surgery, FEU-NRMF, 2013.Description: 15 pages: tables; (in folder)Content type:

text

Media type:

unmediated

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volume

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LOC classification:

SUR 2013 0003

Summary: Abstract: This study aimed to evaluate the adherence of general surgeons to the PCS clinical practice guidelines (CPG) on cholecystitis, specifically the type of ancillary procedures, use of antibiotics, optimal timing of surgery, length of hospital stay, and in hospital morbidity. This is a retrospective cohort study on patients admitted at FEU-NRMF Medical Center from January to December 2012 for cholecystitis who underwent open or laparoscopic cholecystectomy. The subjects were divided into two groups, those who were managed with adherence to CPG and those managed with non-adherence to CPG in terms of optimal timing of surgery and use of antibiotics. The clinical outcomes of the two groups were compared in terms of length of hospital stay and in-hospital morbidity. There were 230 patients included in the study, comprising of 85 (37%) malesand 145 (63%) females, with mean age 43.52 ± 14.2 years. For the diagnosis, 181 (78.7%) had chronic cholecystitis while 41 (21.3%) had acute cholecystitis. Furthermore, 190 (82.6%) patients underwent Laparoscopic Cholecystectomy while 40 (17.4%) patients underwent Open Cholecystectomy . There is significant lesser incidence of in-hospital morbidity and length of hospital stay for patients managed with adherence to optimal timing of surgery (p=0.041, p=<0.001). However, there is no significant difference in the clinical outcome, both in length of hospital stay (p=0.174) and in-hospital morbidity (p=0.265) in patients manage with adherence to or non-adherence to CPG in terms of antibiotics used. Adherence to optimal timing of surgery would lead to lower in-hospital morbidity and shorter length of hospital stay. However, there was no sufficient evidence to prove that in-hospital morbidity and length of hospital stay in days were influenced by adherence to recommended use of antibiotics.

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Item type	Current library	Call number	Status	Notes	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation	SUR 2013 0003 (Browse shelf(Opens below))	Not For Loan	draft		R000733
Room Use	Far Eastern University - Nicanor Reyes Medical Foundation Research	SUR 2013 0003 (Browse shelf(Opens below))	Checked out		10/09/2023 13:41	R000427

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Includes bibliographical references.

Abstract: This study aimed to evaluate the adherence of general surgeons to the PCS clinical practice guidelines (CPG) on cholecystitis, specifically the type of ancillary procedures, use of antibiotics, optimal timing of surgery, length of hospital stay, and in hospital morbidity. This is a retrospective cohort study on patients admitted at FEU-NRMF Medical Center from January to December 2012 for cholecystitis who underwent open or laparoscopic cholecystectomy. The subjects were divided into two groups, those who were managed with adherence to CPG and those managed with non-adherence to CPG in terms of optimal timing of surgery and use of antibiotics. The clinical outcomes of the two groups were compared in terms of length of hospital stay and in-hospital morbidity. There were 230 patients included in the study, comprising of 85 (37%) malesand 145 (63%) females, with mean age 43.52 ± 14.2 years. For the diagnosis, 181 (78.7%) had chronic cholecystitis while 41 (21.3%) had acute cholecystitis. Furthermore, 190 (82.6%) patients underwent Laparoscopic Cholecystectomy while 40 (17.4%) patients underwent Open Cholecystectomy . There is significant lesser incidence of in-hospital morbidity and length of hospital stay for patients managed with adherence to optimal timing of surgery (p=0.041, p=<0.001). However, there is no significant difference in the clinical outcome, both in length of hospital stay (p=0.174) and in-hospital morbidity (p=0.265) in patients manage with adherence to or non-adherence to CPG in terms of antibiotics used. Adherence to optimal timing of surgery would lead to lower in-hospital morbidity and shorter length of hospital stay. However, there was no sufficient evidence to prove that in-hospital morbidity and length of hospital stay in days were influenced by adherence to recommended use of antibiotics.

Research - Department of Surgery

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