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Clinical predictors of severe acute pancreatitis: value-adding the view from the end of the bed

Citation

Turner, RC and McDermott, R, Clinical predictors of severe acute pancreatitis: value-adding the view from the end of the bed, A N Z Journal of Surgery, 84, (9) pp. 672-676. ISSN 1445-1433 (2014) [Refereed Article]

Copyright Statement

Copyright 2013 Royal Australasian College of Surgeons

DOI: doi:10.1111/ans.12390

Abstract

Background: Research into clinical determinants of severe acute pancreatitis remains important for therapeutic and preventive purposes. To contribute to prognostication, this study aimed to define clinical risk factors for the development of severe acute pancreatitis.

Methods: Study design was a prospective cohort study, using multiple logistic regression. From March 2004 to July 2007, 153 cases of acute pancreatitis were recruited in a regional Australian hospital. Data were collected regarding demographic and clinical characteristics. The outcome measure was severe acute pancreatitis, as defined by composite consensus criteria.

Results: After adjustment for potential confounders, there was a significant positive association with waist circumference and a negative association with current smoking status.

Conclusion: The study confirms other work suggesting central adiposity as a risk factor for severe acute pancreatitis. The finding of a possible protective effect for smoking may be physiologically plausible but merits further confirmatory research.

Item Details

Item Type:Refereed Article
Keywords:central obesity, pancreatitis, prognosis, smoking
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Surgery
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Digestive System Disorders
Author:Turner, RC (Professor Richard Turner)
ID Code:88631
Year Published:2014 (online first 2013)
Web of Science® Times Cited:1
Deposited By:Medicine (Discipline)
Deposited On:2014-02-11
Last Modified:2015-05-14
Downloads:0

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