Abstract
Aims. Acute cholecystitis is one of the most common emergencies of general surgery. Although there is an increase in the incidence of acute cholecystitis in the summer season when the temperature increases, its cause is not fully understood. The aim of this study is to determine the relationship between acute cholecystitis and temperature.
Material and Methods: 271 patients admitted to the general surgery service in 2021 were included in this study. Patient data were obtained retrospectively from patient files and data from national centers were used for meteorological data. Conformity of continuous variables to normal distribution was evaluated using visual and analytical methods.
Results: According to the percentage distribution of cases, acute cholecystitis was most common in summer and least in winter. A very strong positive correlation was found between monthly mean temperature values and monthly incidence of acute cholecystitis (correlation coefficient: r= 0.759 and p=0.004).
Conclusions: The incidence of acute cholecystitis also increases with increasing ambient temperature, and this is important in terms of planning health services.
Supporting Institution
no
References
- Halpin V. Acute cholecystitis. BMJ Clin Evid. 2014;2014:0411. Published 2014 Aug 20.
- Indar AA, Beckingham IJ. Acute cholecystitis. BMJ. 2002;325(7365):639-643. doi:10.1136/bmj.325.7365.639
- Jivegård L, Thornell E, Svanvik J. Pathophysiology of acute obstructive cholecystitis: implications for non-operative management. Br J Surg. 1987;74(12):1084-1086. doi:10.1002/bjs.1800741205
- Reshetnyak VI. Concept of the pathogenesis and treatment of cholelithiasis. World J Hepatol. 2012;4(2):18-34. doi:10.4254/wjh.v4.i2.18
- Bhaskaran K, Armstrong B, Hajat S, Haines A, Wilkinson P, Smeeth L. Heat and risk of myocardial infarction: hourly level case-crossover analysis of MINAP database. BMJ. 2012;345:e8050. Published 2012 Dec 13. doi:10.1136/bmj.e8050
- Lim YH, So R, Lee C, Hong, YC, Park M, Kim L, et al. Ambient temperature and hospital admissions for acute kidney injury: A time-series analysis. Sci Total Environ. 2018;616-617:1134-1138. doi:10.1016/j.scitotenv.2017.10.207
- Schwab F, Gastmeier P, Hoffmann P, Meyer E. Summer, sun and sepsis-The influence of outside temperature on nosocomial bloodstream infections: A cohort study and review of the literature. PLoS One. 2020;15(6):e0234656. Published 2020 Jun 19. doi:10.1371/journal.pone.0234656
- Khan MS, Shahzad N, Arshad S, Shariff AH. Seasonal Variation in Acute Cholecystitis: An Analysis of Cholecystectomies Spanning Three Decades. J Surg Res. 2020;246:78-82. doi:10.1016/j.jss.2019.08.025
- Martinez ME. The calendar of epidemics: Seasonal cycles of infectious diseases. PLoS Pathog. 2018;14(11):e1007327. Published 2018 Nov 8. doi:10.1371/journal.ppat.1007327
- Rolden HJ, Rohling JH, van Bodegom D, Westendorp RG. Seasonal Variation in Mortality, Medical Care Expenditure and Institutionalization in Older People: Evidence from a Dutch Cohort of Older Health Insurance Clients. PLoS One. 2015;10(11):e0143154. Published 2015 Nov 16. doi:10.1371/journal.pone.0143154
- Soyiri IN, Reidpath DD. An overview of health forecasting. Environ Health Prev Med. 2013;18(1):1-9. doi:10.1007/s12199-012-0294-6
- Miyakawa T, Michihata N, Morita K, Matsui H, Honda M, Yasunaga H. Ambient temperature and hospital admissions for acute cholecystitis: a nationwide inpatient database study in Japan. HPB (Oxford). 2022;24(3):398-403. doi:10.1016/j.hpb.2021.06.431
- Ye X, Wolff R, Yu W, Vaneckova P, Pan X, Tong S. Ambient temperature and morbidity: a review of epidemiological evidence. Environ Health Perspect. 2012;120(1):19-28. doi:10.1289/ehp.1003198
- Davies GM, Dasbach EJ, Teutsch S. The burden of appendicitis-related hospitalizations in the United States in 1997. Surg Infect (Larchmt). 2004;5(2):160-165. doi:10.1089/sur.2004.5.160
- Sandler RS, Everhart JE, Donowitz M, Adams E, Cronin K, Goodman C, et al. The burden of selected digestive diseases in the United States. Gastroenterology. 2002;122(5):1500-1511. doi:10.1053/gast.2002.32978
- Zangbar B, Rhee P, Pandit V, Hsu, CH, Khalil M, Okeefe T, et al. Seasonal Variation in Emergency General Surgery. Ann Surg. 2016;263(1):76-81. doi:10.1097/SLA.0000000000001238
- Hosseini SV, Torabijahromi M, Mosallaei M, Sabet B, Pourahmad S. The effect of season and Ramadan fasting on the onset of acute cholecystitis. Saudi Med J. 2006;27(4):503-506.
- Yoshimoto H, Yamakawa K, Umemura Y, Fujii K, Nakamura E, Taniguchi K, et al. Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis. J Pers Med. 2021;11(12):1346. Published 2021 Dec 10. doi:10.3390/jpm11121346
Abstract
Amaç: Akut kolesistit genel cerrahinin en sık görülen acillerinden biridir.Sıcaklığın arttığı yaz mevsiminde akut kolesistit insidansında bir atış olmasına rağmen nedeni tam olarak anlaşılamamıştır.Bu çalışmadaki amaç akut kolesistit ve sıcaklık arasındaki ilişkiyi belirlemektir.
Gereç ve Yöntemler: Bu çalışmaya 2021 yılında genel cerrahi servisine başvuran 271 hasta dahil edildi. Hasta verileri retrospektif olarak hasta dosyalarından elde edildi ve meteorolojik veriler için ulusal merkezlerden alınan veriler kullanıldı. Sürekli değişkenlerin normal dağılıma uygunluğu görsel ve analitik yöntemlerle değerlendirildi.
Bulgular: Olguların yüzde dağılımına göre akut kolesistit en sık yaz aylarında, en az ise kış aylarında görüldü. Aylık ortalama sıcaklık değerleri ile aylık akut kolesistit insidansı arasında çok güçlü bir pozitif korelasyon bulundu (korelasyon katsayısı: r= 0.759 ve p=0.004).
Sonuç: Ortam sıcaklığı arttıkça akut kolesistit insidansı da artmaktadır ve bu durum sağlık hizmetlerinin planlanması açısından önemlidir.
Keywords
References
- Halpin V. Acute cholecystitis. BMJ Clin Evid. 2014;2014:0411. Published 2014 Aug 20.
- Indar AA, Beckingham IJ. Acute cholecystitis. BMJ. 2002;325(7365):639-643. doi:10.1136/bmj.325.7365.639
- Jivegård L, Thornell E, Svanvik J. Pathophysiology of acute obstructive cholecystitis: implications for non-operative management. Br J Surg. 1987;74(12):1084-1086. doi:10.1002/bjs.1800741205
- Reshetnyak VI. Concept of the pathogenesis and treatment of cholelithiasis. World J Hepatol. 2012;4(2):18-34. doi:10.4254/wjh.v4.i2.18
- Bhaskaran K, Armstrong B, Hajat S, Haines A, Wilkinson P, Smeeth L. Heat and risk of myocardial infarction: hourly level case-crossover analysis of MINAP database. BMJ. 2012;345:e8050. Published 2012 Dec 13. doi:10.1136/bmj.e8050
- Lim YH, So R, Lee C, Hong, YC, Park M, Kim L, et al. Ambient temperature and hospital admissions for acute kidney injury: A time-series analysis. Sci Total Environ. 2018;616-617:1134-1138. doi:10.1016/j.scitotenv.2017.10.207
- Schwab F, Gastmeier P, Hoffmann P, Meyer E. Summer, sun and sepsis-The influence of outside temperature on nosocomial bloodstream infections: A cohort study and review of the literature. PLoS One. 2020;15(6):e0234656. Published 2020 Jun 19. doi:10.1371/journal.pone.0234656
- Khan MS, Shahzad N, Arshad S, Shariff AH. Seasonal Variation in Acute Cholecystitis: An Analysis of Cholecystectomies Spanning Three Decades. J Surg Res. 2020;246:78-82. doi:10.1016/j.jss.2019.08.025
- Martinez ME. The calendar of epidemics: Seasonal cycles of infectious diseases. PLoS Pathog. 2018;14(11):e1007327. Published 2018 Nov 8. doi:10.1371/journal.ppat.1007327
- Rolden HJ, Rohling JH, van Bodegom D, Westendorp RG. Seasonal Variation in Mortality, Medical Care Expenditure and Institutionalization in Older People: Evidence from a Dutch Cohort of Older Health Insurance Clients. PLoS One. 2015;10(11):e0143154. Published 2015 Nov 16. doi:10.1371/journal.pone.0143154
- Soyiri IN, Reidpath DD. An overview of health forecasting. Environ Health Prev Med. 2013;18(1):1-9. doi:10.1007/s12199-012-0294-6
- Miyakawa T, Michihata N, Morita K, Matsui H, Honda M, Yasunaga H. Ambient temperature and hospital admissions for acute cholecystitis: a nationwide inpatient database study in Japan. HPB (Oxford). 2022;24(3):398-403. doi:10.1016/j.hpb.2021.06.431
- Ye X, Wolff R, Yu W, Vaneckova P, Pan X, Tong S. Ambient temperature and morbidity: a review of epidemiological evidence. Environ Health Perspect. 2012;120(1):19-28. doi:10.1289/ehp.1003198
- Davies GM, Dasbach EJ, Teutsch S. The burden of appendicitis-related hospitalizations in the United States in 1997. Surg Infect (Larchmt). 2004;5(2):160-165. doi:10.1089/sur.2004.5.160
- Sandler RS, Everhart JE, Donowitz M, Adams E, Cronin K, Goodman C, et al. The burden of selected digestive diseases in the United States. Gastroenterology. 2002;122(5):1500-1511. doi:10.1053/gast.2002.32978
- Zangbar B, Rhee P, Pandit V, Hsu, CH, Khalil M, Okeefe T, et al. Seasonal Variation in Emergency General Surgery. Ann Surg. 2016;263(1):76-81. doi:10.1097/SLA.0000000000001238
- Hosseini SV, Torabijahromi M, Mosallaei M, Sabet B, Pourahmad S. The effect of season and Ramadan fasting on the onset of acute cholecystitis. Saudi Med J. 2006;27(4):503-506.
- Yoshimoto H, Yamakawa K, Umemura Y, Fujii K, Nakamura E, Taniguchi K, et al. Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis. J Pers Med. 2021;11(12):1346. Published 2021 Dec 10. doi:10.3390/jpm11121346
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Original research article |
| Authors | |
| Publication Date | December 31, 2022 |
| Submission Date | July 29, 2022 |
| Published in Issue | Year 2022 Volume: 55 Issue: 3 |
