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Table 1 Characteristics of patients who achieve TO versus non-TO

From: Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study

 

No TO

TO

p value

n = 1246

n = 457

n = 789

 

Gender

  

.000

 Male

275 (60.6)

382 (48.9)

 Female

179(39.4)

399 (51.1)

Age (median IQR)

68 (54–77)

57 (44–70)

.000

*BMI (body mass index)

27 (24–29)

27 (24–29)

.929

Scores

*POSSUM Physiological score

22 (18–28)

18 (15–23)

.000

*TOTAL POSSUM

32(27–38)

28 (24–32)

.000

*APACHE II SCORE

7(5–11)

5(2–8)

.000

ASA score

  

.000

 1

51 (11.9)

214 (29.3)

 2

171 (40)

355 (48.6)

 3

164 (38.3)

152 (20.8)

 4

39 (9.1)

9 (1.2)

 5

3 (0.7)

0 (0)

Charlson Comorbidity Score > 6

  

.000

 No

381 (86.4)

735 (96.6)

 Yes

60 (13.6)

26 (3.4)

Modified Frailty index

  

.000

 0

150 (32.8)

429 (54.4)

 1

126 (27.6)

176 (22.3)

 2

79 (17.3)

86 (10.9)

 3

47 (10.3)

43 (5.4)

 4

22( 4.8)

19 (2.4)

 5

13 (2.8)

7 (0.9)

 6

7 (1.5)

1 (0.1)

 7

4 (0.9)

1 (0.1)

 8

1 (0.2)

0 (0)

Clinical data

*Pulse (rate per minute)

85(76–95)

80(72–90)

.000

*Systolic blood pressure (mmHg)

130 (120–145)

130 (120–142)

.432

*Temperature °C

36.9(36.2–37.8)

36.7 (36.1–37.2)

.001

Hypertension requiring treatment

  

.000

 No

208 (46.1)

243 (53.9)

 Yes

510 (65.6)

267 (34.4)

Diabetes mellitus treated with insulin or oral medications

  

.000

 No

339 (75.3)

662 (85.2)

 Yes

111 (24.7)

115 (14.8)

Any liver disease

  

.024

 No

163 (91.6)

714 (95.7)

 Yes

15 (8.4)

32 (4.3)

Previous abdominal surgical procedures?

  

.046

 No

309 (70.2)

579 (75.5)

 Yes

131 (29.8)

188 (24.5)

*Time since symptoms and surgery (days)

4(2–6)

3(1–5)

.000

Duration complaints > 72h

  

.000

 No

245 (53.6)

523 (66.3)

 Yes

211 (46.2)

264 (33.5)

Palpable tender mass in the right upper abdominal quadrant

  

.000

 No

269 (58.9)

539 (68.8)

 Yes

188 (41.1)

245 (31.3)

Serological tests

White blood cells > 18.000/mm3

  

.000

 No

325 (71.4)

670 (85.5)

 Yes

130 (28.6)

114 (14.5)

*Hemoglobin

13.2 (11.8–14.6)

13.8 (12.4–15)

.000

Platelet count > 100,000/mm3

  

.001

 No

436 (95.4)

775 (98.2)

 Yes

20 (4.4)

11 (1.4)

INR > 1.5

  

.000

 No

397 (86.9)

762 (96.6)

 Yes

58 (12.7)

23 (2.9)

Creatinine > 2mg/dL

  

.000

 No

396 (86.7)

769 (97.5)

 Yes

60 (13.1)

19 (2.4)

Increased total bilirubin > 2 mg/dL

  

.000

 No

318 (72.4)

679 (88.8)

 Yes

121 (27.6)

86 (11.2)

Data About AC

Previous percutaneous cholecystostomy

  

.000

 No

419 (94.8)

758 (99.1)

 Yes

23 (5.2)

7 (0.9)

Associated Common Bile Duct Stones (confirmed by EUS or MRI)

  

.000

 No

393 (86.0)

736 (93.3)

 Yes

45 (9.8)

23 (2.9)

Gangrenous cholecystitis

  

.000

 No

278 (61)

632 (80.2)

 Yes

178 (39)

156 (19.8)

Pericholecystic abscess

  

.000

 No

353 (77.9)

733 (93.3)

 Yes

100 (22.1)

53 (6.7)

Hepatic abscess

  

.000

 No

429 (94.1)

777 (99.4)

 Yes

27 (5.9)

5 (0.6)

Biliary peritonitis

  

.000

 No

419 (92.3)

764 (97.7)

 Yes

35 (7.7)

18 (2.3)

ACC grade

  

.000

 1

98 (21.4)

304 (38.5)

 2

353 (77.2)

485 (61.5)

 3

6 (1.3)

0 (0)

*Operative time in min

110(85–140)

85(60–116)

.000

Bail-out procedure?

  

.000

 No

374 (82)

761 (96.8)

 Yes

82 (18)

25 (3.2)

Chole-Risk score

  

.000

 0

58 (12.7)

165 (20.9)

 1

182 (39.8)

370 (46.9)

 2

136 (29.8)

187 (23.7)

 3

65 (14.2)

28 (3.5)

 4

9 (2.0)

1 (0.1)

POSSUM Operative severity score

  

.000

  < 15

390 (85.3)

705 (89.4)

  > 15

47 (10.3)

7 (0.9)

  1. BMI Body mass index, EUS endoscopic ultrasound, MRI magnetic resonance, ACC Acute cholecystitis
  2. *Median and interquartilic rank IQR