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Acute Pancreatitis: Presentation and Outcomes at a Safety Net Hospital
Andrew Zhang1, Sindhura Kolli1, Disha Panchal1
1Department of Surgery, Rutgers, New Jersey Medical School, Newark, New Jersey.
The Journal of Surgical Research
|April 19, 2025
Summary
This study identified socioeconomic factors and medical practices linked to acute pancreatitis complications and deaths. Findings highlight areas for improving patient care and reducing inappropriate antibiotic use in safety-net hospitals.
Area of Science:
- Gastroenterology
- Clinical Medicine
- Health Services Research
Background:
- Acute pancreatitis is a common condition with established management protocols.
- Further research is needed to identify targets for improving care, particularly concerning medical and socioeconomic factors influencing outcomes.
Purpose of the Study:
- To analyze medical and socioeconomic factors associated with morbidity and mortality in acute pancreatitis patients.
- To identify areas for improvement in care pathways and resource utilization.
Main Methods:
- Retrospective review of 404 acute pancreatitis patients admitted between 2015 and 2022.
- Data collected from electronic medical records.
- Analysis of morbidity and mortality outcomes using standard statistical methods.
Main Results:
- 4% of patients died, and 19.6% experienced complications within 30 days.
- Public insurance, comorbidities, and interventional radiology consultations were associated with complications.
- Surgery and interventional radiology consultations were linked to mortality.
- Inappropriate antibiotic use was noted in 44.1% of cases without clear indication.
Conclusions:
- Novel factors influencing acute pancreatitis morbidity and mortality were identified.
- Current best practices are not uniformly applied, indicating a need for standardized care pathways.
- Further research should focus on optimizing service consultations, developing interventions for at-risk patients, and reducing unnecessary antibiotic prescriptions.
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