After acute pancreatitis: excessive alcohol intake is linked to reduced survival

  • Husu HL & al.
  • J Crit Care
  • 1 Oct 2019

  • International Clinical Digest
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Takeaway

  • Short-term survival rates after severe acute pancreatitis (SAP) are excellent for patients aged

Why this matters

  • Preventing continued alcohol abuse after SAP could increase long-term survival, especially in young, otherwise healthy patients.

Study design

  • Researchers studied the health records of consecutive patients treated for SAP in a university hospital intensive care unit (N=435; 78.6% aged
  • Funding: Helsinki University.

Key results

  • OS was 82.1% (357 patients) at 90 days, but varied by age group:
    • 60-69 years, 60.3% (38 patients).
    • ≥70 years, 43.3% (13 patients).
  • Estimated 10-year survival rates were 60 years.
  • For more than half of patients (57.1%) who died after 90 days, the underlying cause of death was alcohol-related.

Limitations

  • The study was retrospective and single centre.
  • Data were not available on disease severity, organ-specific failures, or survivor QoL.