Trajectories of Lymphocyte Counts in the Early Phase of Acute Pancreatitis Are Associated With Infected Pancreatic Necrosis
| Autor: | Cheng Qu, Wendi Jiang, Jing Zhou, Jiajia Lin, Wenjian Mao, Zhihui Tong, Jiangtao Yin, Lu Ke, Yang Liu, Bo Ye, Yuxiu Liu, Weiqin Li, Wensong Chen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Care medicine.medical_treatment Lymphocyte Gastroenterology Article law.invention Immunocompromised Host law Risk Factors Internal medicine medicine Humans Lymphocyte Count Pancreas Proportional Hazards Models Retrospective Studies business.industry Pancreatitis Acute Necrotizing Incidence (epidemiology) Hazard ratio Immunosuppression Length of Stay Middle Aged medicine.disease Intensive care unit Confidence interval medicine.anatomical_structure Pancreatitis Disease Progression Acute pancreatitis Female Complication business |
| Zdroj: | Clinical and Translational Gastroenterology |
| ISSN: | 2155-384X |
| Popis: | Introduction Infected pancreatic necrosis (IPN) is an important complication of acute pancreatitis (AP). Absolute lymphocyte count (ALC) was reported to be associated with immunosuppression and the development of IPN. The aim of this study was to describe the trajectory of ALC during the early phase of AP and assess its association with IPN. Methods We retrospectively screened patients with AP admitted to our center between January 2016 and July 2019. The ALC levels for the first 7 days after admission were collected. Group-based trajectory modeling was performed to detect the trajectories. Cox proportional hazards regression model was adopted to identify potential risk factors of IPN. Results Overall, 292 patients were enrolled for analysis. A triple-group trajectory model was developed, assigning 116 patients to the low-level ALC group, 133 to the medium-level ALC group, and 43 to the high-level ALC group. There was no overall significant difference regarding the incidence of IPN among the 3 groups (P = 0.066). In pairwise comparison, patients in the low-level ALC group had significantly higher incidence of IPN than those in the high-level ALC group (hazard ratio: 3.50; 95% confidence interval: 1.22-10.00, P = 0.020). Length of hospital stay and intensive care unit stay differed significantly among patients with different trajectories (P = 0.042 and 0.033, respectively). Discussion Despite the fact that the trajectories of ALC is overall insignificant for the development of IPN, patients with persistent low ALC trajectories during the early phase of AP are more likely to develop IPN when compared with patients with high ALC trajectories. |
| Databáze: | OpenAIRE |
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