{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:42:01Z","timestamp":1777448521166,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T00:00:00Z","timestamp":1685923200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,10]]},"abstract":"\n Background<\/jats:title>\n Symptomatic cholelithiasis is a common disease in which the majority of patients are managed electively. There is an unknown proportion of patients who require emergency surgery for acute cholecystitis in this elective waiting period. Our study aimed to evaluate risk factors for requiring an emergency cholecystectomy during this waiting period.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This single-center retrospective observational study queried medical records for scheduled elective cholecystectomies from 2017 to 2022. We then evaluated these patients to determine who required emergency intervention via acute cholecystectomy. Patient demographics were analyzed. Patient cohort subgroups were created for patients who waited longer than 60\u00a0days and less than 60\u00a0days.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n 1086 patients from 2017 to 2022 were scheduled for an elective cholecystectomy. Of those, 48 required emergency cholecystectomy. Average wait times of those who required emergent cholecystectomy were found to be significantly higher at 60.3\u00a0d, compared to 47.3\u00a0d for the elective group ( P = .03*). Subgroup analysis of patients with >60\u00a0d average wait time re-demonstrated significance with 92.1\u00a0d and 115.7\u00a0d ( P = .004) for the elective and emergency subgroups, respectively. >60\u00a0d wait time showed increased odds ratio of 1.805 ( P = .05) for requiring an emergency cholecystectomy. Logistic regression analysis identified >60\u00a0d waiting period ( P = .01) and obesity ( P = .0001) as predictors of needing emergency surgery.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Wait time >60\u00a0d is associated with an increased risk of emergent cholecystectomy. Obesity was identified as a key risk factor which should be considered for stratifying patients for more urgent surgical intervention.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/00031348231180923","type":"journal-article","created":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T01:54:34Z","timestamp":1686016474000},"page":"4191-4194","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["From Elective to Emergent Cholecystectomy: A Single-Center Experience"],"prefix":"10.1177","volume":"89","author":[{"given":"Evan D.","family":"DeCan","sequence":"first","affiliation":[{"name":"Department of Surgery, Kaiser Permanante Los Angeles Medical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael E.","family":"Walston","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kaiser Permanante Los Angeles Medical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily S.","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kaiser Permanante Los Angeles Medical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice J.","family":"Verham","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kaiser Permanante Los Angeles Medical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,5]]},"reference":[{"key":"bibr1-00031348231180923","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9610(05)80930-4"},{"issue":"7","key":"bibr2-00031348231180923","first-page":"662","volume":"169","author":"Sobolev B","year":"2003","journal-title":"Cmaj Can Medical Assoc J J De L\u2019association Medicale Can"},{"issue":"1","key":"bibr3-00031348231180923","first-page":"34","volume":"50","author":"Lau R","year":"2007","journal-title":"Can J Surg J Can De Chir"},{"issue":"1","key":"bibr4-00031348231180923","first-page":"20","volume":"84","author":"Cheruvu CVN","year":"2002","journal-title":"Ann Roy Coll Surg"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231180923","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231180923","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231180923","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:38:09Z","timestamp":1777379889000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231180923"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,5]]},"references-count":4,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/00031348231180923"],"URL":"https:\/\/doi.org\/10.1177\/00031348231180923","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,5]]}}}