Back to Search
Start Over
Hospital admission volume does not impact the in-hospital mortality of acute pancreatitis
- Source :
- HPB : the official journal of the International Hepato Pancreato Biliary Association. 19(1)
- Publication Year :
- 2016
-
Abstract
- Background Multiple factors influence mortality in Acute Pancreatitis (AP). Methods To evaluate the association of demographic, clinical, and hospital factors with the in-hospital mortality of AP using a population-based administrative database. The Maryland HSCRC database was queried for adult (≥18 years) admissions with primary diagnosis of AP between 1/94-12/10. Organ failure (OF), interventions, hospital characteristics and referral status were evaluated. Results There were 72,601 AP admissions across 48 hospitals in Maryland with 885 (1.2%) deaths. A total of 1657 (2.3%) were transfer patients, of whom 101 (6.1%) died. Multisystem OF was present in 1078 (1.5%), of whom 306 (28.4%) died. On univariable analysis, age, male gender, transfer status, comorbidity, OF, all interventions, and all hospital characteristics were significantly associated with mortality; however, only age, transfer status, OF, interventions, and large hospital size were significant in the adjusted analysis. Patients with commercial health insurance had significantly less mortality than those with other forms of insurance (OR 0.65, 95% CI: 0.52, 0.82, p = 0.0002). Conclusion OF is the strongest predictor of mortality in AP after adjusting for demographic, clinical, and hospital characteristics. Admission to HV or teaching hospital has no survival benefit in AP after adjusting for OF and transfer status.
- Subjects :
- Male
Patient Transfer
Pediatrics
medicine.medical_specialty
Time Factors
Referral
Databases, Factual
Multiple Organ Failure
Population
Psychological intervention
MEDLINE
Risk Assessment
03 medical and health sciences
0302 clinical medicine
Patient Admission
Risk Factors
Medicine
Humans
Hospital Mortality
education
Health Facility Size
education.field_of_study
Hepatology
In hospital mortality
Maryland
business.industry
Process Assessment, Health Care
Gastroenterology
Age Factors
medicine.disease
Comorbidity
Treatment Outcome
Pancreatitis
030220 oncology & carcinogenesis
Emergency medicine
Acute Disease
Acute pancreatitis
030211 gastroenterology & hepatology
Female
business
Risk assessment
Subjects
Details
- ISSN :
- 14772574
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- HPB : the official journal of the International Hepato Pancreato Biliary Association
- Accession number :
- edsair.doi.dedup.....2b37d5faecbfa6e97b2630766ab3aea4