Scoring System in Acute Calculous Cholecystitis

NCT04308265 | Completed

• 1 other identifier: Department of general surgery
• Study Type: observational
• Target: 1
• Locations: 1 country
• Sites: 1

Brief Summary

Acute cholecystitis is a common disease in the daily practice of general surgery. There are various methods in the treatment of this disease, such as early cholecystectomy, medical treatment, six weeks later cholecystectomy and cholecystostomy. However, it is not satisfied with objective criteria that these methods are selected according to which patient groups. With this observational-prospective study, the benefit of first visit scoring on 'which of the treatment options will be most suitable for the patient' will be investigated. Thus, rare but severe complications of cholecystectomy can be prevented.

Conditions

Acute Cholecystitis

Outcome Measures

Primary Outcomes (2)

• cut off value

  After entering the patients' data entries and scoring points, ROC analysis will be done with the SPSS program. The resulting cut off value is given to us; It will provide information about which patients to recommend early cholecystectomy, which patients should seek medical treatment and other solutions. Values above the cut-off value to be analyzed will be considered bad value. If values above the cut off value are found, surgery will not be preferred.

  Three months

• The score will be determined.

  A score will be determined with the scoring system created using the history, history information, hemogram, biochemistry tests, ultrasonography findings of the patients admitted to the study, and the height and bodyweight of the patients. Scoring will be created using the following information; * Diabetes Mellitus story * White Blood Cell * C Reactive Protein (CRP) * Wall thickness of gall bladder * Pericholecystic Fluid * Acute Cholecystitis Attack Number * Pain start time (hours) * AGE * GENDER * Body Mass Index

  Three months

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients admitted to the hospital for acute cholecystitis older than 18 years will constitute the study population.

You may qualify if:

• Clinically and Radiologically diagnosed with acute cholecystitis
• be over 18 years old

You may not qualify if:

• Being under the age of 18
• getting pregnant
• Acute pancreatitis, cholangitis or choledochal stone with acute cholecystitis
• Having a previous history of upper abdominal surgery

Sponsors & Collaborators

• Konya Meram State Hospital: lead

Study Sites (1)

Konya Training and Research Hospital

Konya, 42090, Turkey (Türkiye)

Location

Related Publications (2)

• Ozkardes AB, Tokac M, Dumlu EG, Bozkurt B, Ciftci AB, Yetisir F, Kilic M. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective, randomized study. Int Surg. 2014 Jan-Feb;99(1):56-61. doi: 10.9738/INTSURG-D-13-00068.1.

  PMID: 24444271 BACKGROUND

• Ambe PC, Papadakis M, Zirngibl H. A proposal for a preoperative clinical scoring system for acute cholecystitis. J Surg Res. 2016 Feb;200(2):473-9. doi: 10.1016/j.jss.2015.09.010. Epub 2015 Sep 9.

  PMID: 26443188 RESULT

MeSH Terms

Conditions

Cholecystitis, Acute

Condition Hierarchy (Ancestors)

Cholecystitis; Gallbladder Diseases; Biliary Tract Diseases; Digestive System Diseases

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigators

Study Record Dates

• First Submitted: March 10, 2020
• First Posted: March 16, 2020
• Study Start: March 7, 2020
• Primary Completion: February 28, 2021
• Study Completion: March 15, 2021
• Last Updated: March 23, 2021

Record last verified: 2021-03

Locations

TU (1)