| Timing of mortality in severe acute pancreatitis: experience from 643 patients. | |
| | |
MedLine Citation:
|
PMID: 17461498 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: To determine the timing of mortality after onset of severe acute pancreatitis (SAP) and the course of the disease in a large series of patients. METHODS: From July 1996 to June 2005, all patients diagnosed with acute pancreatitis at Chang Gung Memorial Hospital, Taipei, Taiwan were retrospectively studied. Three thousand two hundred and fifty episodes of acute pancreatitis were recorded in 2248 patients (1431 males and 817 females; median age, 55.6 years; range, 18-97 years). Mortality was divided into two groups: early death (<= 14 d after admission), and late death (> 14 d after admission). The clinical features of patients in these two groups were compared. RESULTS: Although the overall mortality rate of acute pancreatitis was 3.8% (123/3250), mortality rate of SAP was as high as 16.3% (105/643). Of those 105 SAP mortalities, 44 (41.9%) deaths occurred within the first 14 d after admission and 61 (58.1%) occurred after14 d. Incidence of early death did not significantly differ from that of late death. The co-morbidities did not contribute to the timing of death. Early deaths mainly resulted from multiple organ failure. Late deaths were mainly caused by secondary complication of infected necrosis. Intra-abdominal bleeding significantly caused higher mortality in late death. CONCLUSION: Approximately half (42%) of SAP deaths occur within 14 d and most were due to multiple organ failure. The late deaths of SAP were mostly due to infected necrosis. |
| | |
Authors:
|
Chih-Yuan Fu; Chun-Nan Yeh; Jun-Te Hsu; Yi-Yin Jan; Tsann-Long Hwang |
Related Documents
:
|
19540488 - Patterns of mortality and causes of death in polytrauma patients--has anything changed? 9260758 - Determinants of the autopsy decision: a statistical analysis. 7955018 - Measurement of overall and cause-specific mortality in infants and children: memorandum... 18575148 - The health of the delta region: a story of increasing disparities. 12222708 - Effect of different types of feeding on fatty acid composition of erythrocyte membrane ... 21048268 - Delayed recognition of central hypothyroidism in a neonate born to thyrotoxic mother. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: World journal of gastroenterology : WJG Volume: 13 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2007 Apr |
Date Detail:
|
Created Date: 2007-04-27 Completed Date: 2007-08-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
|
Languages: eng Pagination: 1966-9 Citation Subset: IM |
Affiliation:
|
Department of General Surgery, Chang Gung Memorial Hospital, Chang Gung University, 5 Fu-shin Street, Kweishan, Taoyuan, Taiwan, China. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Adolescent Adult Aged Aged, 80 and over Disease Progression Female Humans Male Middle Aged Multiple Organ Failure / etiology, mortality Necrosis / etiology, mortality Pancreatitis / complications*, mortality* Retrospective Studies Severity of Illness Index Taiwan / epidemiology Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Lactobacillus plantarum inhibits epithelial barrier dysfunction and interleukin-8 secretion induced ...
Next Document: Perioperative management of primary liver cancer.