Analysis of risk factors related to acute exacerbation in patients with chronic pancreatitis: a retrospective study of 313 cases from a single center in China

BMC Gastroenterol. 2024 Nov 27;24(1):436. doi: 10.1186/s12876-024-03528-w.

Abstract

Background: Acute on chronic pancreatitis(ACP) is a common cause of treatment in patients with chronic pancreatitis(CP). However, as far as we know, research on ACP has been few, and the quality may vary. This study intended to explore the risk factors related to acute exacerbation in patients with chronic pancreatitis.

Methods: 313 patients with CP were analyzed based on clinical data from 2014 to 2023 and categorized into ACP and non-ACP groups. Their data, assessed across eleven parameters, were used to study risk variables associated with acute exacerbation in patients with chronic pancreatitis.

Results: Of the 313 eligible patients, 163(52.1%) were ACP. Age > 50 years old (P = 0.049, OR = 0.614, 95%CI: 0.378-0.998), recurrent acute pancreatitis(RAP) history (P = 0.000, OR = 3.284, 95%CI: 1.972-5.467) and steatorrhea (P = 0.013, OR = 0.189, 95%CI: 0.051-0.704) were related factors for ACP.

Conclusion: The history of RAP was an independent risk factor for ACP. Age and steatosis were protective of the prevalence of ACP.

Keywords: Acute on chronic pancreatitis; Age; Chronic pancreatitis; Recurrent acute pancreatitis; Steatorrhea.

MeSH terms

  • Acute Disease
  • Adult
  • Age Factors
  • Aged
  • China / epidemiology
  • Disease Progression
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pancreatitis / epidemiology
  • Pancreatitis / etiology
  • Pancreatitis, Chronic* / complications
  • Pancreatitis, Chronic* / epidemiology
  • Prevalence
  • Recurrence*
  • Retrospective Studies
  • Risk Factors

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