Evidence map›Paper›PMID 42566026›Full record

ArticleSurgery today2026

Pre-admission Barthel Index and serum albumin are associated with discharge to the pre-admission residence after percutaneous transhepatic gallbladder drainage for acute cholecystitis.

Sota Nakamura, Kazuhiro Tada, Yo-Ichi Yamashita, Naotaka Inomata, Kazuhito Sakata, Shohei Yoshiya, Yosuke Kuroda, Fumitaka Yoshizumi, Kentaro Iwaki, Shoji Hiroshige and 3 more

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Sota NakamuraDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan. poko1429531@gmail.com.
Kazuhiro TadaDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Yo-Ichi YamashitaDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Naotaka InomataDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Kazuhito SakataDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Shohei YoshiyaDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Yosuke KurodaDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Fumitaka YoshizumiDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Kentaro IwakiDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Shoji HiroshigeDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Hideya TakeuchiDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Kengo FukuzawaDepartment of Surgery, Japanese Red Cross Oita Hospital, 3-2-37 Chiyomachi, Oita-shi, 870-0033, Oita, Japan.
Tomoharu YoshizumiDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, 812- 8582, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePercutaneous transhepatic gallbladder drainage (PTGBD) is often performed for acute cholecystitis in medically fragile patients, but the factors associated with discharge to the pre-admission residence remain unclear. Thus, we examined the determinants of discharge to the pre-admission residence after PTGBD.

methodsThe subjects of this retrospective study were 73 patients who underwent PTGBD for acute cholecystitis between March 2018 and March 2025. The primary outcome was final discharge to the pre-admission residence, defined as discharge without escalation of residential care needs. Multivariable logistic regression included age, sex, pre-admission Barthel Index (BI), serum albumin (ALB), Tokyo Guidelines 2018 severity, and interval cholecystectomy.

resultsThe median age was 79 years (interquartile range, 68-85 years), and 55 patients (75.3%) resided in a nursing-care facility or a long-term care hospital before admission. Thirty-seven patients (50.7%) underwent interval cholecystectomy. Patients discharged to their pre-admission residence had a higher BI and ALB. Multivariable analysis identified BI (per 5-point increase; adjusted odds ratio [aOR], 1.39; 95% confidence interval [CI], 1.17-1.83; p = 0.002) and ALB (per 0.5 g/dL increase; aOR, 5.03; 95% CI, 1.69-26.01; p = 0.017), but not interval cholecystectomy, as being independently associated with outcome.

conclusionsPre-admission BI and ALB may help identify patients who need early discharge planning and supportive care.

Indexed as

Acute cholecystitisBarthel IndexFunctional outcomePercutaneous transhepatic gallbladder drainageSerum albumin

Identifiers

PMID42566026

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.