Az akut pancreatitist követő kórházi visszavételi arány mint minőségi mutató = Rate of early hospital readmission in acute pancreatitis as a quality marker

Illés, Dóra and Czakó, László (2021) Az akut pancreatitist követő kórházi visszavételi arány mint minőségi mutató = Rate of early hospital readmission in acute pancreatitis as a quality marker. ORVOSI HETILAP, 162 (11). pp. 413-418. ISSN 0030-6002

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Abstract

Introduction: Acute pancreatitis is the leading cause of hospitalization among gastrointestinal diseases. The early readmission rate is a quality marker and the strongest prognostical factor of 1-year mortality of acute pancreatitis. Objective: To investigate the rate and cause of early readmission among patients treated with acute pancreatitis at our clinic. Methods: Our retrospective study was conducted among patients (>18 years) treated with acute pancreatitis between January 2010 and December 2018 at our clinic, by whom unplanned readmission happened <30 days from emission. Personal data were collected from the Hungarian Pancreas Registry. Data of biliary and non-biliary acute pancreatitis cases were compared concerning epidemiological data, cause of readmission, mean time elapsed until readmission, its duration and outcome. Results: 647 patients were diagnosed with acute pancreatitis. Of them, 28 patients had early readmission. The most common causes were 1) local pancreatic complications, 2) biliary and 3) recurrence of acute pancreatitis. By investigating the biliary and non-biliary pancreatitis cases separately, the cause of readmission was biliary in 65.5% and 15%, respectively. The number of moderately severe pancreatitis cases was significantly higher in the non-biliary group. Conclusion: The proportion of moderate/severe diseases was higher in the non-biliary pancreatitis group. In the case of biliary pancreatitis, it is suggested to perform index cholecystectomy. © 2021 Akademiai Kiado Rt.. All rights reserved.

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