Organ Dysfunction Changes in Acute Necrotizing Pancreatitis Patients With Sepsis Following Open Necrosectomy

N/ANot Yet RecruitingNCT07201246

West China Hospital700 enrolled

Overview

The purpose of this retrospective study was to characterize the changes in organ dysfunction among patients with acute necrotizing pancreatitis complicated by sepsis who underwent open necrosectomy.

Baseline demographic and clinical characteristics (including age, gender, and education level) were collected from medical records. Organ dysfunction was defined according to the Sequential Organ Failure Assessment (SOFA) score. SOFA scores were extracted at predefined time points: preoperative (T1), postoperative day 1 (T2), postoperative day 3 (T3), and either postoperative day 7 or hospital discharge, whichever occurred first (T4). Postoperative survival status up to 1 year was obtained from the institutional database.

Study Type

OBSERVATIONAL

Enrollment

700

Conditions

Necrotizing Pancreatitis

Interventions

Necrotizing Pancreatitis patients' organdysfunction progressionOTHER

Study the dynamic nature of organ dysfunction

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients 18 years or older 2. Diagnosis of Acute pancreatitis according to the revised Atlanta classification, requires two of thefollowing three criteria: (A) typical abdominal pain, (B) an increase in serum amylase or lipaselevels higher than three times the upper limit of normality, and (C) signs of AP in imaging3)Patients with confirmed or suspected infected pancreatic or peripancreatic necrosis werescheduled for open necrosectomy 3. Meet Sepsis-3 criteria Exclusion Criteria: Patients undergo repeat surgery on the same site

Locations (1)

West China Hospital, Sichuan University

Chengdu, China, China

Outcomes

Primary Outcomes

Measure organ dysfunction change after open necrosectomy with respect to time

Organ dysfunction was assessed retrospectively using the Sequential Organ Failure Assessment (SOFA) score, which ranges from 0 (normal) to 4 (most abnormal) for each organ, with higher scores indicating more severe dysfunction.

Time frame: up to postoperative day 7, or at hospital discharge, whichever comes first