Research Article

Risk Factors for Death in Patients with Severe Acute Pancreatitis in Guizhou Province, China

Table 1

Comparison of clinical characteristics between the survival group and the nonsurvival group in patients with SAP.

All patients (), (%)Survivor (), (%)Nonsurvivor (), (%)

Gender0.62
 Females205 (42.18)179 (42.62)26 (39.39)
 Males281 (57.82)241 (57.38)40 (60.61)
Age (years)<0.01
 Median494656
 Range7-897-8927-84
Etiology
 Biliary339 (69.75)289 (68.81)50 (75.76)0.25
 Hyperlipidemia84 (17.28)77 (18.33)7 (10.61)0.12
 Mixed40 (8.23)33 (7.86)7 (10.61)0.45
 Alcohol12 (2.47)11 (2.62)1 (1.52)0.59
 Trauma5 (1.03)5 (1.19)0(0)0.37
 Idiopathic6 (1.23)5 (1.19)1 (1.52)0.82
Comorbidity
 Hypertension137 (28.19)112 (26.67)25 (37.88)0.06
 Diabetes100 (20.58)80 (19.05)20 (30.30)0.04
 Chronic respiratory diseases7 (1.44)5 (1.19)2 (3.03)0.24
 Chronic renal failure7 (1.44)4 (0.95)3 (4.54)0.09
Unhealthy lifestyle
 Smoking221 (45.47)188 (44.76)33 (50.00)0.43
 Excessive drinking65 (13.37)55 (13.10)10 (15.15)0.65
Complication
 ARDS246 (50.62)205 (48.81)41 (62.12)0.04
 AKI148 (30.45)102 (24.29)46 (69.70)<0.01
 Sepsis132 (27.16)102 (24.29)30 (45.45)<0.01
 Organic perforation13 (2.67)8 (1.90)5 (7.58)0.03
 Intra-abdominal hemorrhage35 (7.20)20 (4.76)15 (22.73)<0.01
 Fluid collection134 (27.57)108 (25.71)26 (37.88)0.02
 Paralytic intestinal obstruction4 (0.82)3 (0.71)1 (1.52)1.00
 ACS28 (5.77)17 (4.05)11 (16.67)<0.01
 Organ failure268 (55.14)210 (50.00)58 (87.88)<0.01
 Infected pancreatic necrosis126 (25.93)97 (23.10)29 (43.94)<0.01
Medical intervention
 Mechanical ventilation174 (35.80)121 (28.81)53 (80.30)<0.01
 CRRT336 (69.14)291 (69.29)45 (68.18)0.86
 Vasopressin162 (33.33)110 (26.19)52 (78.79)<0.01
 Endoscopic therapy42 (8.64)34 (8.10)8 (12.12)0.28
 Percutaneous drainage180 (37.04)144 (34.29)36 (54.55)<0.01
 Laparotomy21 (4.32)10 (2.38)11 (16.67)<0.01
 Blood transfusion products339 (69.75)284 (67.62)55 (83.33)0.01
Time from onset of symptoms to ICU admission3.0 (1.0, 4.0)3.0 (1.0, 4.0)3.0 (2.0, 5.0)0.14
90-day mortality66 (13.58)

SAP: severe acute pancreatitis; ARDS: acute respiratory distress syndrome; AKI: acute kidney injury; ACS: abdominal compartment syndrome; CRRT: continuous renal replacement therapy.