Risk factors and their interactive effects on severe acute pancreatitis complicated with acute gastrointestinal injury

Jian-Hui Chen; Mei-Fen Zhang; Wen-Chao Du; Yan-An Zhang

doi:10.4240/wjgs.v15.i8.1712

Risk factors and their interactive effects on severe acute pancreatitis complicated with acute gastrointestinal injury

World J Gastrointest Surg. 2023 Aug 27;15(8):1712-1718. doi: 10.4240/wjgs.v15.i8.1712.

Authors

Jian-Hui Chen¹, Mei-Fen Zhang¹, Wen-Chao Du¹, Yan-An Zhang²

Affiliations

¹ Emergency Department, Longyan First Affiliated Hospital of Fujian Medical University, Longyan 364000, Fujian Province, China.
² Emergency Department, Longyan First Affiliated Hospital of Fujian Medical University, Longyan 364000, Fujian Province, China. zhangyanan6870@163.com.

Abstract

Background: There are many risk factors for severe acute pancreatitis (SAP) complicated with acute gastrointestinal injury (AGI), but few reports on the interaction between these risk factors.

Aim: To analyze the risk factors for SAP complicated with AGI and their interactive effects.

Methods: We selected 168 SAP patients admitted to our hospital between December 2019 and June 2022. They were divided into AGI group and non-AGI group according to whether AGI was present. Demographic data and laboratory test data were compared between the two groups. The risk factors for SAP with concomitant AGI were analyzed using multifactorial logistic regression, and an analysis of the interaction of the risk factors was performed.

Results: The percentage of patients with multiple organ dysfunction syndrome, acute physiological and chronic health scoring system II (APACHE II) score, white blood cell count and creatinine (CRE) level was higher in the AGI group than in the non-AGI group. There was a statistically significant difference between the two groups (P < 0.05). Logistic regression analysis indicated that an APACHE II score > 15 and CRE > 100 µmol/L were risk factors for SAP complicating AGI. The interaction index of APACHE II score and CRE level was 3.123.

Conclusion: An APACHE II score > 15 and CRE level > 100 µmol/L are independent risk factors for SAP complicated with AGI, and there is a positive interaction between them.

Keywords: Acute gastrointestinal injury; Acute physiological and chronic health scoring system II; Creatinine; Interactions; Risk factors; Severe acute pancreatitis.