학술논문

Impact of comorbidities on hospital mortality in patients with acute pancreatitis: a population-based study of 110,021 patients
Document Type
article
Source
BMC Gastroenterology, Vol 23, Iss 1, Pp 1-10 (2023)
Subject
Acute pancreatitis
Hospital mortality
Comorbidity
Charlson index
Elixhauser index
Diseases of the digestive system. Gastroenterology
RC799-869
Language
English
ISSN
1471-230X
Abstract
Abstract Background The impact of pre-existing comorbidities on acute pancreatitis (AP) mortality is not clearly defined. Our study aims to determine the trend in AP hospital mortality and the role of comorbidities as a predictor of hospital mortality. Methods We analyzed patients aged ≥ 18 years hospitalized with AP diagnosis between 2016 and 2019. The data have been extracted from the Spanish National Hospital Discharge Database of the Spanish Ministry of Health. We performed a univariate and multivariable analysis of the association of age, sex, and comorbidities with hospital mortality in patients with AP. The role of the Charlson and Elixhauser comorbidity indices as predictors of mortality was evaluated. Results A total of 110,021 patients diagnosed with AP were hospitalized during the analyzed period. Hospital mortality was 3.8%, with a progressive decrease observed in the years evaluated. In multivariable analysis, age ≥ 65 years (OR: 4.11, p 1.5 (OR: 2.03, p 1.5 (OR: 2.71, p