Jaundice on Presentation Is Associated with Higher In-Patient Mortality and Complications in Patients Admitted for Acute Pancreatitis: A Retrospective Study Based on National Inpatient Sample Database
Table 2
Assessment of outcomes.
Outcomes
Pancreatitis with jaundice
Pancreatitis without jaundice
-Value
In-hospital mortality
*Missing—920
4.3%
2.1%
<0.0001
1.51 (1.35–1.68)
<0.0001
Length of stay, days (mean, IQR)
4 (3–8)
4 (2–6)
0.0023
Total hospitalization cost, $ (median, IQR)
11,412 (6843–19,216)
7893 (4840–13,842)
<0.0001
In-hospital complications
ARDS
0.4%
0.3%
0.08
Ventilator dependence respiratory failure
0.23%
0.29%
0.25
Dehydration and electrolyte disorders
47.6%
43.8%
<0.0001
Septicemia
15.2%
9.6%
<0.0001
Septic shock
4.1%
2.9%
<0.0001
Prolonged ileus
0.3%
0.2%
0.38
Ascites
6.5%
3.1%
<0.0001
Hypoalbuminemia
2.5%
1.4%
<0.0001
AKI
17.8%
14.9%
<0.0001
Peritonitis
1.8%
1.4%
0.0008
Perforation of intestine
0.06%
0.2%
0.006
Toxic megacolon
0.11%
0.17%
0.17
Acute liver failure
1.6%
1.1%
<0.0001
Disposition
<0.0001
Discharge to home
68.9%
74.9%
Transfer other: Includes skilled
10.1%
8.6%
Nursing facility (SNF), intermediate
Care facility (ICF) and another type of facility
Home health care
8.5%
8.1%
Against medical advice (AMA)
1.6%
3.4%
*Missing—920
Adjusted for age, race, gender, Elixhauser comorbidities, primary payer, and hospital teaching status.