Early prediction of severe acute cholecystitis using routine admission parameters: a study of 1,330 patients - Report - MDSpire

Early prediction of severe acute cholecystitis using routine admission parameters: a study of 1,330 patients

  • By

  • Alparslan Ertenlice

  • Hikmet Pehlevan Özel

  • Zeynep Nur Yurdakul

  • Mehmet Sefa Çamöz

  • Gözde İğdeci Tut

  • Şule Bal

  • İbrahim Kılınç

  • Sadettin Er

  • June 23, 2026

  • 0 min

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Clinical Report: Predicting Severe Acute Cholecystitis Early Through Standard Admission Metrics

Overview

This study evaluates the predictive power of standard admission metrics for assessing the severity of acute cholecystitis in a cohort of 1,330 patients.

Background

Acute cholecystitis is a prevalent surgical emergency with varying incidence across populations. The Tokyo Guidelines 2018 (TG18) provide a framework for grading disease severity, which is crucial for determining treatment approaches. Accurate early assessment of severity can significantly impact management strategies.

Data Highlights

No numerical data available in the provided source material.

Key Findings

  • The study included 1,330 patients diagnosed with acute cholecystitis, categorized into mild/moderate (Grade 1 and 2) and severe (Grade 3) based on TG18 criteria.
  • Patients with severe acute cholecystitis are at higher risk for complications such as perforation and sepsis.
  • Standard admission metrics can aid in predicting disease severity.
  • Current TG18 guidelines may require careful evaluation of clinical factors in severe cases.

Clinical Implications

The findings indicate that integrating standard admission metrics with laboratory parameters can enhance early detection of severe acute cholecystitis.

Conclusion

The study highlights the use of standard admission metrics for predicting severe acute cholecystitis.

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  3. Surgical Endoscopy, 2023 -- Initial surgical service admission promotes timely cholecystectomy in cases of acute cholecystitis without affecting patient outcomes
  4. Independent Prediction of Adverse Outcomes and Mortality in Acute Pancreatitis Patients Using Early Warning Scores
  5. 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis
  6. Clinical update on acute cholecystitis and biliary pancreatitis: between certainties and grey areas
  7. https://www.pure.ed.ac.uk/ws/files/46636228/Yokoe_et_al_2017_Journal_of_Hepato_Biliary_Pancreatic_Sciences.pdf
  8. 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis
  9. Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial - PMC
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  11. Preoperative C-reactive protein as a predictor of conversion and complications in laparoscopic cholecystectomy for acute cholecystitis | BMC Surgery | Springer Nature Link
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Original Source(s)

Early prediction of severe acute cholecystitis using routine admission parameters: a study of 1,330 patients

  • by Alparslan Ertenlice, Hikmet Pehlevan Özel, Zeynep Nur Yurdakul, Mehmet Sefa Çamöz, Gözde İğdeci Tut, Şule Bal, İbrahim Kılınç, Sadettin Er

  • June 23, 2026

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