The clinical significance of Body Mass Index in evaluation of acute pancreatitis in China

Abstract

ObjectiveThe main objective was to investigate the early assessment value of Body Mass Index in the prediction of severity in acute pancreatitis. MethodsThe retrospective analysis was designed to assess the relationship between Body Mass Index and the severity of acute pancreatitis in Beijing Jishuitan Hospital from January 2018 to December 2019. Using SPSS 20.0 software for statistical analysis, and Logistic Regression for the factors affecting the severity of acute pancreatitis, and draw the ROC curve to test the effectiveness to the diagnosis of acute pancreatitis. ResultsThe BMI was significantly correlated with the Ranson scoring and MCTSI scoring (P=0.000, 0.000). The difference of BMI in MAP and SAP patients was statistically significantly (P=0.000). The Logistic Regression indicated that BMI was an independent risk factor for the severity of acute pancreatitis. Combined detection of BMI, WBC, serum calcium, and SAMY in prognosis of the severity of acute pancreatitis positive rate is higher than single positive rate. ConclusionThe BMI gradually increased with the severity of acute pancreatitis, and was an independent risk factor for the condition. Combined detection of BMI, WBC, serum calcium, and SAMY can effectively improve the acute pancreatitis patients’ clinical diagnostic accuracy and early treatment, and help to reduce the complications.