Research Article

Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013

Table 6

Multivariate analyses of the factors influencing MC in the FFS system in the 171 patients who had definite, suspected, or unmatched AC diagnoses.

VariablesRegression coefficient value

Age 0.0050
BMI0.7263
PS<0.001
CBD stone0.7495
Acute cholangitis0.6357
Preoperative biliary drainage 0.0320
Hospital stay before surgery<0.001
Preoperative fasting period0.0586
WBC0.3568
Hb0.4094
Plt0.5015
CRP0.7555
Alb 0.0197
BUN0.7116
Cr0.6605
T-Bil0.7585
AST0.3581
ALT0.3973
ALP0.0719
γ-GTP0.5503
PT-INR0.4562
Severity grade based on TG13<0.001
B for the diagnosis of AC based on TG130.8311
C for the diagnosis of AC based on TG130.6437

MC: medical costs, FFS: fee for service, AC: acute cholecystitis, BMI: body mass index, PS: performance status, CBD: common bile duct, WBC: white blood cell, Hb: hemoglobin, Plt: platelet cell, CRP: C-reactive protein, Alb: albumin, BUN: blood urea nitrogen, Cr: creatinine, T-Bil: total bilirubin, AST: aspartate aminotransferase, ALT: alanine aminotransferase, ALP: alkaline phosphatase, γ-GTP: γ-glutamyl transpeptidase, PT-INR: prothrombin time-international normalized ratio, and TG13: Tokyo Guidelines 2013. and .