It is important to identify patients with acute pancreatitis who are at risk for developing persistent organ failure early in the course of disease. The investigators evaluated whether peripheral blood non-coding RNAs, including microRNAs and long noncoding RNA (lncRNA), could serve as a good marker for detection of acute pancreatitis with persistent organ failure at early phase.
Acute pancreatitis is a sudden inflammation of the pancreas. It can have severe complications and high mortality despite treatment. While mild cases are often successfully treated with conservative measures, such as fasting and aggressive intravenous fluid rehydration, severe cases may require admission to the intensive care unit or even surgery to deal with complications of the disease process. The diagnosis of severe acute pancreatitis at an early phase remain a major challenge for clinicians. Therefore, many biologic markers have been studied in an effort to improve the diagnostic rate and determine the severity of acute pancreatitis but with disappointing results. Non-coding RNAs, including microRNAs and long noncoding RNA (lncRNA), have recently been validated to stably exist in peripheral blood. Several publications showed that it may serve as potential markers for various diseases, including cancer and inflammation. Our current study evaluated whether and which kind of non-coding RNAs could serve as good markers for severe acute pancreatitis.
Study Type
OBSERVATIONAL
Enrollment
1,097
Linyi People's Hospital
Linyi, Shandong, China
Changhai Hospital, Second Military Medical University
Shanghai, China
Department of Gastroenterology, Shanghai First People's Hospital
Shanghai, China
The level of non-coding RNAs in peripheral blood
RNA quantification after extraction using RT-PCR
Time frame: At admission
serum urea nitrogen
serum urea nitrogen quantification
Time frame: At admission
serum creatinine
serum creatinine quantification
Time frame: At admission
APACHE II score at admission
APACHE II score determined by Temperature, MAP, heart rate, respiratory rate, Pao2, arterial pH, HCO3, sodium, potassium, creatinine, hematocrit, WBC, Glasgow Coma Score, age, chronic health points
Time frame: At admission
BISAP score at admission
BISAP socre determined by BUN (\>25 mg/dL), impaired mental status (Glasgow Coma Score \<15), SIRS (≥2), age (\>60 y), pleural effusion
Time frame: At admission
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