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Try to collect about 350 cases of acute necrotizing pancreatitis at the First Affiliated Hospital with Nanjing Medical University and Nanjing General Hospital of Nanjing Military Command. Then the investigators studied the incidence and the risk factors of ARDS in patients with acute necrotizing pancreatitis.
Using electronic patient data monitoring systems, the investigators reviewed all patients with a diagnosis of pancreatitis admitted to surgical wards or ICUs at the First Affiliated Hospital with Nanjing Medical University and Nanjing General Hospital of Nanjing Military Command from January 1, 2009, to October 31, 2015. Inclusion criteria were adult patients (age >18 years) with acute necrotizing pancreatitis. Exclusion criteria were as follows : 1) lack of radiologic evidence to diagnose acute necrotizing pancreatitis, 2) presence of ARDS before admission to hospitals, 3) unable to partner treatment and leaving hospitals, 4) transferring to the investigators' hospitals after treatment, 5) missing other necessary data, and 6) pregnancy.
For enrolled patients, general clinical characteristics were collected. Patients were categorized into two groups according to ARDS or non-ARDS, and the differences of these characteristics between two groups were evaluated. Potential risk factors were collected and studied by using multiple logistic regression analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ARDS group | patients with acute necrotizing pancreatitis complicated by ARDS | ||
| non-ARDS group | acute necrotizing pancreatitis patients without ARDS |
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| Measure | Description | Time Frame |
|---|---|---|
| the incidence of ARDS in patients with acute necrotizing pancreatitis | up to 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| the risk factors for ARDS in patients with acute necrotizing pancreatitis | Potential risk factors included smoking, alcohol abuse, diabetes mellitus, abdominal surgery, shock, hypoalbuminaemia, hypertriglyceridemia and hypercholesterolemia.Univariate analyses examined potential risk factors on outcome (ARDS or non-ARDS). Then, using multiple logistic regression analysis, factors achieving P≤0.1 in univariate analyses were entered into the model predicting the risk for the onset of ARDS. |
| Measure | Description | Time Frame |
|---|---|---|
| the effect of ARDS on mortality in patients with severe acute pancreatitis | The mortality were compared between ARDS and non-ARDS patients with severe acute pancreatitis. The differences were evaluated by χ2 or Fisher exact test. | up to 2 months |
Inclusion Criteria:
Exclusion Criteria:
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the investigators reviewed all patients with a diagnosis of pancreatitis admitted to surgical wards or ICUs at the First Affiliated Hospital with Nanjing Medical University and Nanjing General Hospital of Nanjing Military Command from January 1, 2009, to October 31, 2015.Adult patients (age >18 years) with acute necrotizing pancreatitis were enrolled.
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| Name | Affiliation | Role |
|---|---|---|
| Bin He, Master | Nanjing Medical University | Study Director |
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| ID | Term |
|---|---|
| D019283 | Pancreatitis, Acute Necrotizing |
| D012128 | Respiratory Distress Syndrome |
| ID | Term |
|---|---|
| D010195 | Pancreatitis |
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D008171 | Lung Diseases |
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| up to 2 months |
| D012140 |
| Respiratory Tract Diseases |
| D012120 | Respiration Disorders |