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Start Over Author "Darshan Kothari" Publisher oxford university press
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2. Extra-pancreatic complications, especially hemodialysis predict mortality and length of stay, in ICU patients admitted with acute pancreatitis

Author

Maarten R. Struyvenberg, Ghideon Ezaz, Michael C. Perillo, Steven D. Freedman, Darshan Kothari, and Sunil A Sheth

Subjects
medicine.medical_specialty, medicine.medical_treatment, intensive care unit, law.invention, 03 medical and health sciences, 0302 clinical medicine, length of stay, law, Internal medicine, Severe acute pancreatitis, extra-pancreatic complications, medicine, infections, Dialysis, business.industry, Mortality rate, Gastroenterology, Retrospective cohort study, Original Articles, medicine.disease, Intensive care unit, 030220 oncology & carcinogenesis, Relative risk, Acute pancreatitis, 030211 gastroenterology & hepatology, Hemodialysis, business, Complication, in-hospital mortality
Abstract

Background and aims Patients in the intensive care unit (ICU) with acute pancreatitis (AP) are at risk for extra-pancreatic complications given their severe illness and prolonged length of stay. We sought to determine the rate of extra-pancreatic complications and its effect on length of stay (LOS) and mortality in ICU patients with AP. Methods We performed a retrospective cohort study of ICU patients admitted to a tertiary-care center with a diagnosis of AP. A total of 287 ICU patients had a discharge diagnosis of AP, of which 163 met inclusion criteria. We calculated incidence rates of extra-pancreatic complications and performed a univariate and multi-variable analysis to determine predictors of LOS and mortality. Results There were a total of 158 extra-pancreatic complications (0.97 extra-pancreatic complications per patient). Ninety-five patients had at least one extra-pancreatic complication, whereas 68 patients had no extra-pancreatic complications. Patients with extra-pancreatic complications had a significantly longer LOS (14.7 vs 8.8 days, p

Published
2018

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