Inlfuence+of+comorbidity+on+outcomes+of+older+patients+with+acute+pancreatitis+based+on+a+na-tional+administrative+database韭.pdfVIP

Original Article/ Pancreas Hepatobiliary Pancreatic Diseases International Influence of comorbidity on outcomes of older patients with acute pancreatitis based on a na- tional administrative database Atsuhiko Murata, Makoto Ohtani, Keiji Muramatsu and Shinya Matsuda Kitakyushu, Japan BACKGROUND: Little information is available on the influ- length of stay were 3.01 days (95% CI: 1.34-4.67, P0.001) and ence of comorbidities on outcomes of older patients with acute 3.72 days (95% CI: 1.01-6.42, P=0.007), respectively. pancreatitis. This study aimed to investigate the influence of co- morbidities on outcomes of older patients with acute pancreati- CONCLUSION: This study demonstrated that comorbidities tis using data from a national Japanese administrative database. significantly influenced outcomes of older patients with acute pancreatitis and cardiovascular and renal comorbidities were METHODS: A total of 14 322 older patients (≥70 years) with significant factors affecting outcomes. acute pancreatitis were referred to 1090 hospitals between 2010 and 2012 in Japan. We collected patients data from the (Hepatobiliary Pancreat Dis Int 2015;14:422-428) administrative database to compare the in-hospital mortal- KEY WORDS: acute pancreatitis; ity and length of stay of older patients with acute pancreatitis. comorbidity; The patients were categorized into four groups according length of stay; to comorbidity level using the Charlson Comorbidity Index databases (CCI): none (CCI score=0; n=6890); mild (1; n=3874); moder- ate (2; n=2192) and severe (≥3; n=1366). RESULTS: Multipl