Academic Journal
Multidimensional impacts of the Lebanese economic crisis on the management of acute cholecystitis.
| Τίτλος: | Multidimensional impacts of the Lebanese economic crisis on the management of acute cholecystitis. |
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| Συγγραφείς: | Chakhtoura G; Digestive Surgery Department, Hôtel-Dieu de France Hospital, Faculty of Medicine Saint Joseph University, Beirut, Lebanon., Dargham C; Digestive Surgery Department, Hôtel-Dieu de France Hospital, Faculty of Medicine Saint Joseph University, Beirut, Lebanon., Abi Habib F; Digestive Surgery Department, Hôtel-Dieu de France Hospital, Faculty of Medicine Saint Joseph University, Beirut, Lebanon., Saade R; Digestive Surgery Department, Hôtel-Dieu de France Hospital, Faculty of Medicine Saint Joseph University, Beirut, Lebanon., El Hadi C; Internal Medicine Department, Lebanese American University Medical Center, Beirut, Lebanon., Mouawad C; Digestive Surgery Department, Centre Hospitalier Intercommunal de Villeneuve-Saint-Georges, Greater Paris Metropolis, France. Electronic address: christianmouawad18@gmail.com., Osseis M; Digestive Surgery Department, Hôtel-Dieu de France Hospital, Faculty of Medicine Saint Joseph University, Beirut, Lebanon., Gharios J; Digestive Surgery Department, Hôtel-Dieu de France Hospital, Faculty of Medicine Saint Joseph University, Beirut, Lebanon., Noun R; Digestive Surgery Department, Hôtel-Dieu de France Hospital, Faculty of Medicine Saint Joseph University, Beirut, Lebanon. |
| Πηγή: | American journal of surgery [Am J Surg] 2026 Mar; Vol. 253, pp. 116781. Date of Electronic Publication: 2025 Dec 17. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: Belle Mead, NJ : Excerpta Medica Original Publication: New York. |
| Ιατρικοί όροι (MeSH): | Cholecystitis, Acute*/surgery , Cholecystitis, Acute*/epidemiology , Cholecystitis, Acute*/economics , Cholecystitis, Acute*/diagnosis , Cholecystectomy*/statistics & numerical data , COVID-19*/epidemiology , Economic Recession*, Lebanon/epidemiology ; Postoperative Complications/epidemiology ; Humans ; Retrospective Studies ; Male ; Female ; Middle Aged ; Aged ; Adult ; Severity of Illness Index |
| Περίληψη: | Background: Lebanon's overlapping economic collapse, COVID-19 pandemic, and Beirut port explosion have profoundly strained healthcare delivery. We assessed their impact on the severity and surgical management of acute cholecystitis. Methods: We conducted a retrospective cohort study of 554 patients who underwent cholecystectomy between 2018 and 2024, comparing a pre-crisis period (2018-January 2020) with a crisis period (February 2020-2024). Monthly interrupted time series analyses and multivariable logistic regression models adjusting for age, ASA class, and inflammatory markers were performed. Results: Crisis-period patients presented later (median 2 vs 1 day) with higher WBC counts. The proportion of Tokyo Grade II-III cholecystitis increased from 22.5 % to 44.9 %, and the crisis period independently predicted higher severity (adjusted OR 3.27; 95 % CI 2.10-5.10). Postoperative complication and readmission rates remained stable. Conclusion: Lebanon's crises were associated with delayed presentation and more severe acute cholecystitis, without worsening adjusted postoperative outcomes. (Copyright © 2025 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: Acute cholecystitis; Healthcare crisis; Surgical outcomes |
| Entry Date(s): | Date Created: 20251223 Date Completed: 20260131 Latest Revision: 20260131 |
| Update Code: | 20260201 |
| DOI: | 10.1016/j.amjsurg.2025.116781 |
| PMID: | 41435722 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1879-1883 |
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| DOI: | 10.1016/j.amjsurg.2025.116781 |