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[Potentially preventable causes of mortality in acute calculous cholecystitis: a population-based study]
A Sh Revishvili1, V E Olovyanny1, P V Markov1
1Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.
Khirurgiia
|July 15, 2024
Summary
Potentially preventable deaths from acute calculous cholecystitis (ACC) occurred in 33% of cases, primarily due to comorbidities and delayed treatment in elderly patients. Addressing diagnostic and surgical issues can reduce ACC mortality.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Outcomes Research
- Public Health Epidemiology
Context:
- Acute calculous cholecystitis (ACC) is a significant cause of morbidity and mortality.
- Understanding population-level mortality causes is crucial for healthcare improvement.
- Elderly patients with comorbidities face higher risks.
Purpose:
- To analyze potentially preventable causes of mortality associated with acute calculous cholecystitis (ACC) at the population level.
- To identify factors contributing to ACC-related deaths.
- To inform strategies for reducing mortality from ACC.
Summary:
- A retrospective study analyzed 648 cases of ACC-related mortality in patients aged 18+, with 33% of deaths identified as potentially preventable.
- Comorbidities, particularly cardiovascular diseases, were major contributors to mortality, especially in severe ACC cases.
- Delayed presentation, diagnostic/tactical issues, and intraoperative errors were identified as key preventable factors.
Impact:
- Findings highlight the need for timely diagnosis and management of ACC, especially in elderly patients with comorbidities.
- Identifying preventable causes can guide interventions to improve surgical outcomes and reduce mortality rates.
- This research provides a basis for public health initiatives aimed at mitigating ACC-related deaths.
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