Next Article in Journal
An Evidence-Based Review of Impacts, Strategies and Tools to Mitigate Urban Heat Islands
Previous Article in Journal
Environmental Factors Correlated with Culturable Enterococci Concentrations in Tropical Recreational Waters: A Case Study in Escambron Beach, San Juan, Puerto Rico
Article Menu
Issue 12 (December) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2017, 14(12), 1601; https://doi.org/10.3390/ijerph14121601

Outcomes in the Utilization of Single Percutaneous Cholecystostomy in a Low-Income Population

1
School of Economics and Management, Xiamen University of Technology, Xiamen 361024, China
2
Department of Information Management, Yuan Ze University, Taoyuan 32003, Taiwan
3
Department of Surgery, Keelung Hospital, Ministry of Health and Welfare, Keelung 20147, Taiwan
4
Institute of Public Health, National Yang-Ming University, Taipei 11221, Taiwan
5
School of Nursing, College of Medicine, National Taiwan University, Taipei 10051, Taiwan
6
Department of Computer Science and Engineering, Yuan Ze University, Taoyuan 32003, Taiwan
7
Innovation Center for Big Data and Digital Convergence, Yuan Ze University, Taoyuan 32003, Taiwan
8
School of Computer and Information Engineering, Xiamen University of Technology, Xiamen 361024, China
*
Author to whom correspondence should be addressed.
Received: 20 October 2017 / Revised: 24 November 2017 / Accepted: 16 December 2017 / Published: 19 December 2017
View Full-Text   |   Download PDF [760 KB, uploaded 19 December 2017]   |  

Abstract

Numerous studies have investigated the applicable populations for percutaneous cholecystostomy (PC) procedures, but the outcomes of PC in low-income populations (LIPs) have been insufficiently studied. Data for 11,184 patients who underwent PC were collected from the National Health Insurance Research Database of Taiwan during 2003 and 2012. The overall crude rate of single PC for the LIP was 64% higher than that for the general population (GP). After propensity score matching for the LIP and GP at a ratio of 1:5, the outcome analysis of patients who underwent PC showed that in-hospital mortality was significantly higher in the LIP group than in the GP group, but one-year recurrence was lower. The rates of 30-day mortality and in-hospital complications were higher for the LIP patients than for the GP patients, and the rate of routine discharge was lower, but the differences were not significant. In conclusion, LIP patients undergoing PC exhibit poor prognoses relative to GP patients, indicating that a low socioeconomic status has an adverse impact on the outcome of PC. We suggest that surgeons fully consider the patient’s financial situation during the operation and further consider the possible poor post-surgical outcomes for LIP patients. View Full-Text
Keywords: health insurance; percutaneous cholecystostomy; acute cholecystitis; low-income population; socioeconomic status health insurance; percutaneous cholecystostomy; acute cholecystitis; low-income population; socioeconomic status
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Lu, P.; Yang, N.-P.; Chang, N.-T.; Lai, K.R.; Lin, K.-B.; Chan, C.-L. Outcomes in the Utilization of Single Percutaneous Cholecystostomy in a Low-Income Population. Int. J. Environ. Res. Public Health 2017, 14, 1601.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top