Risk factors and outcomes of infected pancreatic necrosis: Retrospective cohort of 148 patients admitted to the ICU for acute pancreatitis Article Swipe
Charlotte Garret
,
Matthieu Péron
,
Jean Reignier
,
Aurélie Le Thuaut
,
Jean-Baptiste Lascarrou
,
Fréderic Douane
,
Marc Lerhun
,
Isabelle Archambeaud
,
N. Brulé
,
Cédric Bretonnière
,
Olivier Zambon
,
Laurent Nicolet
,
Nicolas Régenet
,
Christophe Guitton
,
Emmanuel Coron
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1177/2050640618764049
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1177/2050640618764049
Objective The primary objective of this article is to identify risk factors for infected pancreatic necrosis (IPN) in patients admitted to the intensive care unit (ICU) for severe acute pancreatitis. We also described outcomes of IPN. Background Acute pancreatitis is common and associated with multiple, potentially life‐threatening complications. Over the last decade, minimally invasive procedures have been developed to treat IPN. Methods We retrospectively studied consecutive patients admitted for severe acute pancreatitis to the ICUs of the Nantes University Hospital in France, between 2012 and 2015. Logistic regression was used to evaluate potential associations linking IPN to baseline patient characteristics and outcomes. Results Of the 148 included patients, 26 (17.6%) died. IPN developed in 62 (43%) patients and consistently required radiological, endoscopic, and/or surgical intervention. By multivariate analysis, factors associated with IPN were number of organ failure (OF) (for ≥ 3: OR, 28.67 (6.23–131.96), p < 0.001) and portosplenomesenteric venous thrombosis (OR, 8.16 (3.06–21.76)). Conclusion IPN occurred in nearly half our ICU patients with acute pancreatitis and consistently required interventional therapy. Number of OFs and portosplenomesenteric venous thrombosis were significantly associated with IPN. Early management of OF may reduce IPN incidence, and management of portosplenomesenteric venous thrombosis should be investigated.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/2050640618764049
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1177/2050640618764049
- OA Status
- hybrid
- Cited By
- 36
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2793845152
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2793845152Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1177/2050640618764049Digital Object Identifier
- Title
-
Risk factors and outcomes of infected pancreatic necrosis: Retrospective cohort of 148 patients admitted to the ICU for acute pancreatitisWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2018Year of publication
- Publication date
-
2018-03-02Full publication date if available
- Authors
-
Charlotte Garret, Matthieu Péron, Jean Reignier, Aurélie Le Thuaut, Jean-Baptiste Lascarrou, Fréderic Douane, Marc Lerhun, Isabelle Archambeaud, N. Brulé, Cédric Bretonnière, Olivier Zambon, Laurent Nicolet, Nicolas Régenet, Christophe Guitton, Emmanuel CoronList of authors in order
- Landing page
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https://doi.org/10.1177/2050640618764049Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1177/2050640618764049Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1177/2050640618764049Direct OA link when available
- Concepts
-
Medicine, Acute pancreatitis, Intensive care unit, Retrospective cohort study, Venous thrombosis, Pancreatitis, Incidence (geometry), Logistic regression, Thrombosis, Surgery, Internal medicine, Physics, OpticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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36Total citation count in OpenAlex
- Citations by year (recent)
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2025: 6, 2024: 7, 2023: 8, 2022: 4, 2021: 5Per-year citation counts (last 5 years)
- References (count)
-
34Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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