Research Article
Factors and Outcomes Associated with MRCP Use prior to ERCP in Patients at High Risk for Choledocholithiasis
Table 1
Demographic, clinical, and cost characteristics of patients at high risk of choledocholithiasis.
| | MRCP + ERCP () | ERCP only () | value |
| Age, mean (SD) | 53.7 (19.2) | 55.4 (19.4) | 0.58 | Female | 60.4% | 57.9% | 0.76 | SIRS criteria | | | | 0 | 11 (22.9%) | 59 (33.5%) | 0.28 | 1 | 18 (37.5%) | 40 (22.7%) | 2 | 11 (22.9%) | 36 (20.5%) | 3 | 6 (12.5%) | 35 (19.9%) | 4 | 2 (4.2%) | 6 (3.4%) | >2 SIRS criteria | 19 (39.6%) | 77 (43.6%) | 0.63 | Persistent | 7 (14.6%) | 18 (10.2%) | 0.23 | MAP < 65 | 5 (10.4%) | 13 (7.4%) | 0.70 | Need for ICU | 7 (14.6%) | 40 (22.7%) | 0.22 | Positive blood cultures | 7 (14.6%) | 27 (15.3%) | 0.9 | Mortality | 2 (4.2%) | 9 (5.1%) | 0.91 | Charlson comorbidity index, median | 2 0, 5 | 2 0, 4 | 0.87 | Time to MRCP (hrs), median | 24 10, 42.8 | | | Time to ERCP (hrs), median | 72.5 43, 119 | 35 13, 50 | <0.0001 | LOS (days), median | 8 6, 15 | 6 4, 10 | 0.02 | Total hospital charges (), median | 23488 15707, 35820 | 19260 10860, 32502 | 0.08 | Radiology charges (), median | 3385 2261–6058 | 1711 1018–3272 | <0.0001 | Primary service of admission | | | | Medicine | 32 (66.7%) | 114 (64.8%) | | Surgery | 16 (33.3%) | 62 (35.2%) | 0.807 |
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MAP: mean arterial pressure.
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