Aim: Acute cholecystitis is a common reason for emergency admission. Rurality and ethnicity are associated with poorer surgical outcomes, but data in benign disease is sparse. This study aims to assess the effect of rurality and ethnicity on the severity, management, and outcomes of acute cholecystitis.
Methods: A five-year retrospective cohort study was conducted, including all adults admitted to Northland hospitals with acute cholecystitis. The primary cohort was identified using coding. Severity and outcome data was obtained. Severity was defined according to the Tokyo Guidelines 2018 (TG18). Primary outcomes of interest were the difference in severity of acute cholecystitis, and clinical management between groups.
Results: Three hundred and seventy-seven patients were included. There were no significant differences in the severity of acute cholecystitis, rate of acute cholecystectomy, elective cholecystectomy, or non-operative management by rurality or ethnicity. Māori patients presented at a significantly younger age and were more likely to re-present while on the waiting list for elective surgery.
Conclusion: This study found similar clinical severity, management and outcomes comparing rural and urban patients. Māori patients presented at a significantly younger age.
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