Accepted Manuscript Management of Acute Mild Gallstone Pancreatitis under Acute Care Surgery: Should Patients Be Admitted to the Surgery or Medicine Service? Narong Kulvatunyou, MD John Watt, MD Randall S. Friese, MD Lynn Gries, MD Donald J. Green, MD Bellal Joseph, MD Terence O'Keeffe, MD Andrew L. Tang, MD Gary Vercruysse, MD Peter Rhee, MD PII:
S0002-9610(14)00437-1
DOI:
10.1016/j.amjsurg.2014.09.003
Reference:
AJS 11268
To appear in:
The American Journal of Surgery
Received Date: 29 March 2014 Revised Date:
8 September 2014
Accepted Date: 9 September 2014
Please cite this article as: Kulvatunyou N, Watt J, Friese RS, Gries L, Green DJ, Joseph B, O'Keeffe T, Tang AL, Vercruysse G, Rhee P, Management of Acute Mild Gallstone Pancreatitis under Acute Care Surgery: Should Patients Be Admitted to the Surgery or Medicine Service?, The American Journal of Surgery (2014), doi: 10.1016/j.amjsurg.2014.09.003. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT 1
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Management of Acute Mild Gallstone Pancreatitis under Acute Care Surgery: Should Patients Be Admitted to the Surgery or Medicine Service?
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Narong Kulvatunyou, MD; John Watt, MD; Randall S. Friese, MD; Lynn Gries, MD; Donald J. Green, MD; Bellal Joseph, MD; Terence O'Keeffe, MD; Andrew L. Tang, MD; Gary Vercruysse, MD; Peter Rhee, MD
TE D
Division of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, Arizona
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EP
Address for correspondence: Narong Kulvatunyou, MD University of Arizona Department of Surgery Division of Acute Care Surgery 1501 N. Campbell Ave., Room 5411 PO Box 245603 Tucson, AZ 85727-5063 Tel 520-626-0889 Fax 520-626-5016 Email: [email protected]
ACCEPTED MANUSCRIPT 2
ABSTRACT
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M AN U
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Background: We hypothesized that acute mild gallstone pancreatitis (GSP) patients admitted to surgery (SUR) (vs. medicine [MED]) had a shorter time to surgery, shorter hospital length of stay (HLOS), and lower costs. Methods: We performed chart reviews of patients who underwent a cholecystectomy for acute mild GSP during 10/1/2009-5/31/2013. We excluded patients with moderate-to-severe and nongallstone pancreatitis. We compared outcomes for time to surgery, HLOS, costs and complications between the 2 groups. Results: Fifty acute mild GSP patients were admitted to MED and 52 to SUR. MED patients were older and had more comorbidity. SUR patients had a shorter time to surgery (44 vs. 80 hours, P
S0002-9610(14)00437-1
DOI:
10.1016/j.amjsurg.2014.09.003
Reference:
AJS 11268
To appear in:
The American Journal of Surgery
Received Date: 29 March 2014 Revised Date:
8 September 2014
Accepted Date: 9 September 2014
Please cite this article as: Kulvatunyou N, Watt J, Friese RS, Gries L, Green DJ, Joseph B, O'Keeffe T, Tang AL, Vercruysse G, Rhee P, Management of Acute Mild Gallstone Pancreatitis under Acute Care Surgery: Should Patients Be Admitted to the Surgery or Medicine Service?, The American Journal of Surgery (2014), doi: 10.1016/j.amjsurg.2014.09.003. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT 1
RI PT
Management of Acute Mild Gallstone Pancreatitis under Acute Care Surgery: Should Patients Be Admitted to the Surgery or Medicine Service?
M AN U
SC
Narong Kulvatunyou, MD; John Watt, MD; Randall S. Friese, MD; Lynn Gries, MD; Donald J. Green, MD; Bellal Joseph, MD; Terence O'Keeffe, MD; Andrew L. Tang, MD; Gary Vercruysse, MD; Peter Rhee, MD
TE D
Division of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, Arizona
AC C
EP
Address for correspondence: Narong Kulvatunyou, MD University of Arizona Department of Surgery Division of Acute Care Surgery 1501 N. Campbell Ave., Room 5411 PO Box 245603 Tucson, AZ 85727-5063 Tel 520-626-0889 Fax 520-626-5016 Email: [email protected]
ACCEPTED MANUSCRIPT 2
ABSTRACT
AC C
EP
TE D
M AN U
SC
RI PT
Background: We hypothesized that acute mild gallstone pancreatitis (GSP) patients admitted to surgery (SUR) (vs. medicine [MED]) had a shorter time to surgery, shorter hospital length of stay (HLOS), and lower costs. Methods: We performed chart reviews of patients who underwent a cholecystectomy for acute mild GSP during 10/1/2009-5/31/2013. We excluded patients with moderate-to-severe and nongallstone pancreatitis. We compared outcomes for time to surgery, HLOS, costs and complications between the 2 groups. Results: Fifty acute mild GSP patients were admitted to MED and 52 to SUR. MED patients were older and had more comorbidity. SUR patients had a shorter time to surgery (44 vs. 80 hours, P
