{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:55:54Z","timestamp":1791298554432,"version":"4.1.0"},"reference-count":29,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T00:00:00Z","timestamp":1727308800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004700","name":"Taipei Medical University","doi-asserted-by":"publisher","award":["TMU112-AE1-B25"],"award-info":[{"award-number":["TMU112-AE1-B25"]}],"id":[{"id":"10.13039\/501100004700","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004700","name":"Taipei Medical University","doi-asserted-by":"publisher","award":["113-2314-B-038-051"],"award-info":[{"award-number":["113-2314-B-038-051"]}],"id":[{"id":"10.13039\/501100004700","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Science and Technology Council","award":["TMU112-AE1-B25"],"award-info":[{"award-number":["TMU112-AE1-B25"]}]},{"name":"National Science and Technology Council","award":["113-2314-B-038-051"],"award-info":[{"award-number":["113-2314-B-038-051"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The 2018 Tokyo Guidelines (TG18) are used to classify the severity of acute cholecystitis (AC) but insufficient to predict the length of hospital stay (LOS). Methods: For patients with AC, clinical factors and computed tomography features, including our proposed grading system of pericholecystic fat stranding were used for predicting an LOS of \u22657 days in the logistic regression models. Results: Our multivariable model showed age \u2265 65 years (OR: 2.56, p &lt; 0.001), C-reactive protein (CRP) \u2265 2 mg\/dL (OR: 1.97, p = 0.013), gamma-glutamyltransferase levels (OR: 2.460, p = 0.001), TG18 grade (OR: 2.89 per grade, p &lt; 0.001), and moderate to severe pericholecystic fat stranding (OR: 2.14, p = 0.012) exhibited prolonged LOS \u2265 7 days. Conclusions: We developed a scoring model, including TG18 grades (score of 1\u20133 per grade), our grading system of fat stranding (score of 1), CRP (score of 1), and gamma-glutamyltransferase (score of 1), and a cutoff of &gt;3 had highest diagnostic performance.<\/jats:p>","DOI":"10.3390\/jcm13195734","type":"journal-article","created":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T08:20:52Z","timestamp":1727338852000},"page":"5734","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pericholecystic Fat Stranding as a Predictive Factor of Length of Stays of Patients with Acute Cholecystitis: A Novel Scoring Model"],"prefix":"10.3390","volume":"13","author":[{"given":"Suh-Won","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-Han","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui-An","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan"},{"name":"Department of Emergency Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan"},{"name":"School of Public Health, College of Public Health, Taipei Medical University, Taipei 110, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7011-9088","authenticated-orcid":false,"given":"Sen-Kuang","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan"},{"name":"Department of Emergency Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0470-2184","authenticated-orcid":false,"given":"Sheng-Feng","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan"},{"name":"School of Public Health, College of Public Health, Taipei Medical University, Taipei 110, Taiwan"},{"name":"Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan"},{"name":"Department of Evidence-Based Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2573","DOI":"10.1001\/archinte.1994.00420220069008","article-title":"Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease","volume":"154","author":"Shea","year":"1994","journal-title":"Arch. 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