Shi N, Sun GD, Ji YY, Wang Y, Zhu YC, Xie WQ, Li NN, Han QY, Qi ZD, Huang R, Li M, Yang ZY, Zheng JB, Zhang X, Dai QQ, Hou GY, Liu YS, Wang HL, Gao Y. Effects of acute kidney injury on acute pancreatitis patients’ survival rate in intensive care unit: A retrospective study. World J Gastroenterol 2021; 27(38): 6453-6464 [PMID: 34720534 DOI: 10.3748/wjg.v27.i38.6453]
Corresponding Author of This Article
Yang Gao, MD, Department of Critical Care Medicine, The Sixth Affiliated Hospital of Harbin Medical University, Zhongyuan Avenue, Harbin 150028, Heilongjiang Province, China. gaoyang0312@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Oct 14, 2021; 27(38): 6453-6464 Published online Oct 14, 2021. doi: 10.3748/wjg.v27.i38.6453
Table 1 Baseline and clinical data of patients
AKI (n = 72)
Non-AKI (n = 67)
Z/χ2
P value
Age
45.00 (17.50)
44.00 (21.00)
-0.07
0.94
Gender
6.745
0.009
Male
50
32
Female
22
35
BMI
24.45 (2.38)
23.80 (2.60)
-1.20
0.23
APACHE II Score
18.00 (7.75)
9.00 (7.00)
-7.47
< 0.01
SOFA Score
9.00 (6.00)
4.00 (4.00)
-6.50
< 0.01
GCS Score
15.00 (3.00)
15.00 (0.00)
-2.71
0.01
MV
10.94
0.001
Yes
46
24
No
26
43
Abdominal puncture drainage
0.19
0.66
Yes
36
36
No
36
31
Gallbladder puncture drainage
2.36
0.12
Yes
17
9
No
55
58
Vasopressor infusion
26.84
< 0.01
Yes
21
18
No
51
49
RRT
Yes
44
20
13.651
< 0.01
No
28
47
Table 2 Vasopressor infusion
AKI, n = 72
Non-AKI, n = 67
χ2
P value
Types of vasopressors
27.44
< 0.01
No
21
49
1
34
14
≥ 2
17
4
Norepinephrine infusion
35.35
< 0.01
Yes
49
17
No
23
50
Adrenaline infusion
12.75
< 0.01
Yes
15
1
No
57
66
Vasopressor infusion
26.84
< 0.01
Yes
51
18
No
21
49
Table 3 Analysis of prognostic indicators
AKI, n = 72
Non-AKI, n = 67
Z/t/Wald
P value
OR
Prognosis of SICU
9.54
0.002
0.23
cure
48
60
other
24
7
Prognosis of in-hospital
11.33
0.001
0.21
cure
46
60
other
26
7
Duration of MV
34.00 (87.75)
0.00 (18.00)
-3.92
< 0.01
Maximum values of IPP
24.50 (10.00)
18.00 (10.00)
-5.39
< 0.01
Mean values of IPP
21.40 (6.82)
15.29 (4.73)
6.175
< 0.01
Maximum values of body temperature
37.80 (1.20)
37.50 (1.00)
-2.00
0.05
Mean values of body temperature
37.00 (0.50)
37.00 (0.30)
-0.59
0.56
Maximum values of PCT
16.28 (21.12)
2.87 (9.28)
-5.96
< 0.01
Mean values of PCT
8.52 (11.52)
1.58 (4.20)
-6.42
< 0.01
Maximum serum levels of creatinine
284.35 (215.73)
87.60 (47.80)
-9.94
< 0.01
Mean serum levels of creatinine
197.45 (172.10)
65.60 (29.60)
-9.48
< 0.01
Minimum platelet count
93.00 (87.75)
137.00 (73.00)
-3.18
< 0.01
Mean platelet count
174.40 (112.15)
198.00 (103.60)
-1.64
0.10
Hospital day
9.00 (12.75)
8.00 (11.00)
-0.07
0.94
Dose of norepinephrine
16.00 (52.00)
0.00 (4.00)
-5.11
< 0.01
Dose of adrenaline
0.00 (0.00)
0.00 (0.00)
-3.58
< 0.01
Table 4 Analysis of the related factors influencing acute pancreatitis patients’ survival rate
B
SE
Wald
df
P value
Exp (B)
BMI
1.4904
0.6467
5.3105
1.0000
0.0212
4.4387
Mean values of IPP
2.6477
0.6217
18.1355
1.0000
0.0000
14.1211
Minimum platelet count
-1.2285
0.6125
4.0237
1.0000
0.0449
0.2927
Hospital day
-1.8571
0.5965
9.6913
1.0000
0.0019
0.1561
Constant
-0.9863
0.8689
1.2883
1.0000
0.2564
0.3730
Table 5 Area under the receiver operating characteristic curve
Variables
Area
SE
Asymptotic, P value
Asymptotic 95%CI
Lower bound
Upper bound
With AKI
0.896
0.033
0
0.831
0.961
Without AKI
0.891
0.037
0
0.819
0.963
Citation: Shi N, Sun GD, Ji YY, Wang Y, Zhu YC, Xie WQ, Li NN, Han QY, Qi ZD, Huang R, Li M, Yang ZY, Zheng JB, Zhang X, Dai QQ, Hou GY, Liu YS, Wang HL, Gao Y. Effects of acute kidney injury on acute pancreatitis patients’ survival rate in intensive care unit: A retrospective study. World J Gastroenterol 2021; 27(38): 6453-6464