Impact of Clinical, Laboratory and Fluid Therapy Variables on Hospital Length of Stay for Children with Acute Pancreatitis
| Autor: | J. Antonio Quiros, Abdul R Shahein, Susan S. Baker, Steven D. Lauzon, Candi Jump, Ricardo A. Arbizu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Tachycardia
medicine.medical_specialty Resuscitation Length of hospitalization 03 medical and health sciences Fluid intake 0302 clinical medicine Fluid therapy 030225 pediatrics Internal medicine medicine Hepatology business.industry Organ dysfunction Gastroenterology medicine.disease Pancreatitis Pediatrics Perinatology and Child Health Acute pancreatitis Length of stay 030211 gastroenterology & hepatology Original Article medicine.symptom business |
| Zdroj: | Pediatric Gastroenterology, Hepatology & Nutrition |
| ISSN: | 2234-8840 2234-8646 2013-2018 |
| Popis: | Purpose There have been many efforts to develop generalizable severity markers in children with acute pancreatitis (AP). Expert opinion panels have developed consensus guidelines on management but it is unclear if these are sufficient or valid. Our study aims to assess the effect of clinical and laboratory variables, in addition to treatment modality on hospital length of stay (LOS) as a proxy variable for severity in pediatric patients admitted with AP. Methods We conducted a retrospective chart review of patients between ages of 0-18 years, who were admitted with AP at 2 institutions between 2013-2018, John R. Oishei Children's Hospital (Buffalo, NY, USA) and Medical University of South Carolina Children's Hospital (Charleston, SC, USA). We constructed three linear regression models to analyze the effect of clinical signs of organ dysfunction, laboratory markers and fluid intake on hospital LOS. Results Ninety-two patients were included in the study. The mean age was 12 years (range, 7.6-17.4 years), 55% were females, and median LOS was 3 days. The most frequent cause of AP was idiopathic. Our study showed that elevated blood urea nitrogen (BUN) on admission (p |
| Databáze: | OpenAIRE |
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