Pediatrics · Surgery · 2 h ago
Index-admission cholecystectomy linked to fewer pediatric pancreatitis readmissions
A retrospective analysis of a US national readmission database included 13,517 patients aged 21 years or younger hospitalized with gallstone pancreatitis from 2016 to 2020. Cholecystectomy during the index admission was associated with lower 60-day readmission rates; the greatest reduction was reported among patients who also underwent ERCP.
- Overall 60-day readmission rate was 11.8%.
- CCY alone: 4.4% readmitted versus 24.8% with neither procedure.
- CCY plus ERCP: 3.7% readmitted.
- ERCP alone was associated with a 14.85% readmission rate.
Researchers used the Nationwide Readmissions Database to study pediatric hospitalizations for biliary or gallstone pancreatitis from 2016 through 2020. The retrospective cohort included 13,517 patients aged 21 years or younger, grouped by whether they received cholecystectomy (CCY), endoscopic retrograde cholangiopancreatography (ERCP), both procedures, or neither during the index admission. The primary outcome was all-cause readmission within 60 days; adjusted Cox regression was used to assess associations.
In practice
For children and adolescents hospitalized with gallstone pancreatitis, this large US database study found that cholecystectomy during the index admission was associated with substantially fewer 60-day readmissions than discharge without either procedure. ERCP alone was also associated with fewer readmissions than no intervention, and the lowest rate was observed when both procedures were performed. These retrospective associations do not establish causation or determine which individual patients should receive each procedure; the database analysis may not capture all clinical factors influencing treatment selection.
AI-generated clinical interpretation · Not editor-reviewed
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Surgical Endoscopy: Cholecystectomy at the index admission decreases 60-day readmission rates in pediatric gallstone pancreatitis ↗This is an automated AI-condensed summary that has not yet been reviewed by an editor. Always consult the full item at the original source.