Factors Associated With Length of Stay and 30‐Day Revisits in Pediatric Acute Pancreatitis

Barreto, Nicolas B.; Schrager, Sheree M.; Russell, Christopher J.

doi:10.1097/mpg.0000000000002033

Cited by 15 publications

(8 citation statements)

References 31 publications

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“…We also found that gender was another a risk factor of length of hospital stay. The female patients stayed longer than male ones (Table 1), and this phenomenon consisted with previous report in pediatric AP patients 4 . After adjustment for severity classi cation and gender, length of hospital stay still positively correlated with MCH (P = 0.000, Table 4).…”

Section: Discussionsupporting

confidence: 87%

“…The correlation analyses were carried out in all subjects. The basic demographic characteristics, such as gender, age and severity of AP, might in uence length of hospital stay 4 . The laboratory parameters of study participants, such as WBC and HGB, might in uence length of hospital stay as well.…”

Section: The Correlation Analyses In Multiple Linear Regression Analysismentioning

confidence: 99%

“…But these indexes cannot predict length of hospital stay at the beginning of hospitalization. A recent work carried out among children demonstrated that certain demographic and clinical factor, such as gender and ethnicity, were independently associated with length of hospital stay for pediatric AP 4 . However, few laboratory parameters are available to evaluate hospitalization in patients with AP.…”

Section: Introductionmentioning

confidence: 99%

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Mean Corpuscular Hemoglobin Predicts Length of Hospital Stay Independent of Severity Classification in Acute Pancreatitis Patients: a Retrospective Study

Lin

et al. 2021

Preprint

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Background/Objectives: The aim of this study is to explore the relationship between length of hospital stay and mean corpuscular hemoglobin (MCH) in acute pancreatitis (AP) patients.Methods: The study included 273 AP patients without coronary heart disease, diabetes, hypertension, tumor, psychosis and anemia. The clinical data was collected from electronic medical records.Results: We separated all data into three groups according to length of hospital stay. We observed that gender (P=0.017) and severity classification (P=0.000) were significantly correlated with length of hospital stay among three groups. Notably, MCH level was significant increased among three groups (30.02±1.91, 30.21±1.81, 30.92±2.47 pg, P=0.009). Thus, we separated all data into two groups according to MCH level, and observed significant increases of length of hospital stay between two groups (11.95±7.03, 13.96±8.18 days, P=0.030). A positive correlation between length of hospital stay and MCH was observed in these individuals (r=0.172, P=0.004). Multiple linear regression analysis showed that MCH was independent correlated with length of hospital stay, no matter whether severity classification of AP was included (beta=0.248, P=0.000; beta=0.212, P=0.000).Conclusions: We concluded that length of hospital stay is correlated with MCH level in AP patients, and the MCH level may predict length of hospital stay independent of severity classification in this disease. Our results may provide a potential evaluation basis for the management of patients with AP.

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Section: Discussionsupporting

confidence: 87%

Section: The Correlation Analyses In Multiple Linear Regression Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mean Corpuscular Hemoglobin Predicts Length of Hospital Stay Independent of Severity Classification in Acute Pancreatitis Patients: a Retrospective Study

Lin

et al. 2021

Preprint

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“…Pohl et al (2015) reported that children with AP are hospitalized for 5-8 days, while infants and toddlers spend approximately 20 days in the hospital [22]. Gay et al showed that the median LOS was four days (interquartile range: 3-7 days) [23]. Pancreatic pseudocysts may occur in approximately 15% of children with AP, and most cases resolve without intervention [24].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors, Clinical Features, and Outcomes of Acute Pancreatitis in Children in Endemic Zone of Ascariasis in Eastern Bihar: A Hospital-Based Study

Bhattacharya¹,

Kumar²,

Kumari³

et al. 2022

Cureus

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This study aims to describe the etiology, clinical features, and outcomes of acute pancreatitis (AP) in children in an endemic area of hepatobiliary ascariasis. MethodsThis retrospective observational study included acute pancreatitis (AP) patients in the age group of 2-15 years from January 2019 to January 2022. Demographic profile, risk factors, clinical features, laboratory imaging, and outcome data were collected and analyzed. ResultsA total of 40 patients comprising of 21 males (52.5%) and 19 females (47.5%) were included. The median age of the diagnosis of AP was 8.3 years (range: 4-14 years). Biliary ascariasis was the most frequent etiology of AP (n=18, 45%), followed by gallbladder (GB) stone (n=6, 12%), trauma (n=1, 2.5%), hepatitis (n=1, 2.5%), valproate drug (n=1, 2.5%), and GB sludge (n=1, 2.5%). In clinical features, all cases had pain in the abdomen (n=40, 100%), followed by fever (n=9, 22.5%), nausea/vomiting (n=33, 82.5%), jaundice (n=2, 5%), and anemia (n=2, 5%). Three (7.5%) patients developed complications such as shock, pseudocyst, and necrotizing pancreatitis, respectively. The average median hospital stay was nine days (range: 4-20 days). No mortality occurred in our study. ConclusionsThis study revealed a high prevalence (12-13 cases/year) of AP in children in this area. Biliary ascariasis (45%) emerged as the commonest risk factor. Most of the cases suffered from mild AP (92%) and so recovered completely without any complication.

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“…Pre-existing complex clinical conditions, sociodemographic and interventional factors have been associated with increased hospital length of stay (LOS) in pediatric patients who were discharged with diagnosis of AP. This study did not investigate laboratory parameters or the effects of the recommended fluid hydration [12].…”

Section: Introductionmentioning

confidence: 99%

Impact of Clinical, Laboratory and Fluid Therapy Variables on Hospital Length of Stay for Children with Acute Pancreatitis

Shahein

Quiros

Arbizu

et al. 2020

Pediatr Gastroenterol Hepatol Nutr

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Purpose: There have been many efforts to develop generalizable severity markers in children with acute pancreatitis (AP). Expert opinion panels have developed consensus guidelines on management but it is unclear if these are sufficient or valid. Our study aims to assess the effect of clinical and laboratory variables, in addition to treatment modality on hospital length of stay (LOS) as a proxy variable for severity in pediatric patients admitted with AP. Methods: We conducted a retrospective chart review of patients between ages of 0-18 years, who were admitted with AP at 2 institutions between 2013-2018, John R. Oishei Children's Hospital (Buffalo, NY, USA) and Medical University of South Carolina Children's Hospital (Charleston, SC, USA). We constructed three linear regression models to analyze the effect of clinical signs of organ dysfunction, laboratory markers and fluid intake on hospital LOS. Results: Ninety-two patients were included in the study. The mean age was 12 years (range, 7.6-17.4 years), 55% were females, and median LOS was 3 days. The most frequent cause of AP was idiopathic. Our study showed that elevated blood urea nitrogen (BUN) on admission (p<0.005), tachycardia that lasted for ≥48 hours (p<0.001) and need for fluid resuscitation were associated with increase LOS. Total daily fluid intake above maintenance did not have a significant effect on the primary outcome (p=0.49). Conclusion: Elevated serum BUN on admission, persistent tachycardia and need for fluid resuscitation were associated with increase LOS in pediatric AP. Daily total fluid intake above recommended maintenance did not reduce LOS.

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Factors Associated With Length of Stay and 30‐Day Revisits in Pediatric Acute Pancreatitis

Cited by 15 publications

References 31 publications

Mean Corpuscular Hemoglobin Predicts Length of Hospital Stay Independent of Severity Classification in Acute Pancreatitis Patients: a Retrospective Study

Mean Corpuscular Hemoglobin Predicts Length of Hospital Stay Independent of Severity Classification in Acute Pancreatitis Patients: a Retrospective Study

Risk Factors, Clinical Features, and Outcomes of Acute Pancreatitis in Children in Endemic Zone of Ascariasis in Eastern Bihar: A Hospital-Based Study

Impact of Clinical, Laboratory and Fluid Therapy Variables on Hospital Length of Stay for Children with Acute Pancreatitis

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