The clinical outcome of elderly patients with acute pancreatitis is not different in spite of the different etiologies and severity

被引:31
作者
Kim, Jang Eon [1 ,2 ]
Hwang, Jin-Hyeok [1 ]
Lee, Sang Hyub [1 ]
Cha, Byung Hyo [1 ]
Park, Young Soo [1 ]
Kim, Jin-Wook [1 ]
Jeong, Sook-Hyang [1 ]
Kim, Nayoung [1 ]
Lee, Dong Ho [1 ]
机构
[1] Seoul Natl Univ, Bundang Hosp, Dept Internal Med, Coll Med, Songnam 463707, Gyeonggi Do, South Korea
[2] Seoul Med Ctr, Div Gastroenterol, Dept Internal Med, Seoul 135090, South Korea
关键词
Acute pancreatitis in elderly; Etiology of acute pancreatitis; Severity of acute pancreatitis; Outcome of pancreatitis; NECROTIZING PANCREATITIS; IDIOPATHIC PANCREATITIS; PROGNOSTIC FACTORS; CASE-FATALITY; MORTALITY; TRENDS; MANAGEMENT; CHINA; AGE; CT;
D O I
10.1016/j.archger.2011.01.004
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The aim of this study was to investigate the overall clinical characteristics of elderly patients with acute pancreatitis. We retrospectively evaluated 227 consecutively enrolled patients who were admitted with acute pancreatitis. The clinical features, the radiological and laboratory data and the clinical outcome were analyzed according to the age groups (>= 65 years vs. <65 years). Among the 227 enrolled patients with acute pancreatitis, there were 85 elderly patients and 142 non-elderly. The mean age of the elderly patients was 72.3 +/- 5.5 years and that of the non-elderly was 44.7 +/- 11.7 (p < 0.001). For the elderly patients, biliary pancreatitis was the most common cause (56.5%), but alcoholic pancreatitis was most common in the non-elderly patients (45.8%). Although the computed tomography (CT) severity index was significantly higher for the non-elderly patients (p < 0.001), the acute physiology and chronic health evaluation (APACHE II) score was significantly higher for the elderly than that for the non-elderly (p < 0.001). However, the duration of the hospital stay (10.3 +/- 9.6 days vs. 11.9 +/- 10.1 days, p = 0.619) and mortality (3.5% vs. 0.7%, p = 0.148) were not different between the age-groups. In our study, chronological age had no significant influence on the clinical outcome in spite of the different etiologies and severity of acute pancreatitis. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:256 / 260
页数:5
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