Acute Cholecystitis in Very Elderly Patients: Disease Management, Outcomes, and Risk Factors for Complications

Table 2

Factors associated with morbidity and mortality.

	Mortality			Complications
	Survivors ()	Deaths ()		Dindo–Clavién < II ()	Dindo–Clavién ≥ II ()
Age >85.4 years	165 (49%)	9 (70%)	0.1	147 (50%)	27 (48%)	0.7
Male gender	176 (52%)	8 (61%)	0.5	155 (53%)	29 (52%)	0.8
Diabetes	97 (29%)	7 (54%)	0.05	85 (29%)	19 (34%)	0.4
Poor physical status	145 (43%)	5 (38%)	0.7	150 (51%)	43 (77%)	<0.001
ASA IV	37 (11%)	6 (46%)	<0.001	28 (10%)	15 (27%)	<0.001
History biliary diseases	36 (11%)	4 (31%)	0.02	26 (9%)	14 (25%)	0.001
Choledocholithiasis	27 (8%)	1 (8%)	0.9	23 (8%)	5 (9%)	0.7
AC grade III	41 (12%)	12 (93%)	<0.001	26 (9%)	27 (48%)	<0.001
Cholecystectomy > 48 h	15 (15%)	2 (33%)	0.2	11 (12%)	8 (27%)	0.06
Received treatment
Antibiotics	210 (63%)	5 (38%)	0.07	192 (66%)	23 (41%)	<0.001
Cholecystostomy	22 (7%)	3 (23%)	0.02	17 (6%)	8 (14%)	0.02
Cholecystectomy	103 (31%)	5 (38%)	0.5	83 (28%)	25 (45%)	0.01
AC grade III	Multiple regression
	OR (CI 95%)
	86 (11–679)		<0.001
				Multiple regression
				OR (CI 95%)
History biliary diseases				3.2 (1.2–8.7)		0.05
Poor physical status				3.2 (1.2–8.7)		0.02
AC grade III				5.1 (2.1–14.9)		0.001