Centralized care for acute pancreatitis significantly improves outcomes

Szilárd Gódi, Bálint Erőss, Zsuzsanna Gyömbér, Andrea Szentesi, Nelli Farkas, Andrea Párniczky, Patrícia Sarlós, Judit Bajor, József Czimmer, Alexandra Mikó, Katalin Márta, Roland Hágendorn, Zsolt Márton, Zsófia Verzár, László Czakó, Zoltán Szepes, Áron Vincze, Péter Hegyi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Aims: In this observational study, we investigated whether specialized care improves outcomes for acute pancreatitis (AP). Methods: Consecutive patients admitted to two university hospitals with AP were enrolled in this study between 1 January 2016 and 31 December 2016 (Center A: specialized center; Center B: general hospital). Data on demographic characteristics and AP etiology, severity, mortality and quality of care (enteral nutrition and antibiotic use) were extracted from the Hungarian Acute Pancreatitis Registry. An independent sample t-test, Mann–Whitney test, chi-squared test or Fisher’s test were used for statistical analyses. Costs of care were calculated and compared in the two models of care. Results: There were 355 patients enrolled, 195 patients in the specialized center (Center A) and 160 patients in the general hospital (Center B). There was no difference in mean age (57.02 ±17.16 vs. 57.31 ±16.50 P=0.872) and sex ratio (56% males vs. 57% males, P=0.837) between centres, allowing a comparison without selection bias. Center A had lower mortality (n=2, 1.03% vs. n=16, 6.25%, p=0.007), more patients received enteral feeding (n=179, 91.8%, vs. n=36, 22.5%, p<0.001) and fewer patients were treated with antibiotics (n=85, 43.6% vs. n=123, 76.9%, p=0.001). In Center A the median length of hospitalization was shorter (Me 6, IQR 5–9 vs. Me 8, IQR 6–11, p=0.02) and the costs of care were by 25% lower. Conclusion: Our data suggests that treatment of AP in specialized centers reduces mortality, length of hospitalization and thus might reduce the costs.

Original languageEnglish
Pages (from-to)151-157
Number of pages7
JournalJournal of Gastrointestinal and Liver Diseases
Volume27
Issue number2
DOIs
Publication statusPublished - Jun 1 2018

Fingerprint

Pancreatitis
Enteral Nutrition
Costs and Cost Analysis
General Hospitals
Mortality
Hospitalization
Anti-Bacterial Agents
Selection Bias
Quality of Health Care
Sex Ratio
Observational Studies
Registries
Demography

Keywords

  • Acute pancreatitis
  • Costs
  • Mortality
  • Outcome
  • Specialized center

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Gódi, S., Erőss, B., Gyömbér, Z., Szentesi, A., Farkas, N., Párniczky, A., ... Hegyi, P. (2018). Centralized care for acute pancreatitis significantly improves outcomes. Journal of Gastrointestinal and Liver Diseases, 27(2), 151-157. https://doi.org/10.15403/jgld.2014.1121.272.pan

Centralized care for acute pancreatitis significantly improves outcomes. / Gódi, Szilárd; Erőss, Bálint; Gyömbér, Zsuzsanna; Szentesi, Andrea; Farkas, Nelli; Párniczky, Andrea; Sarlós, Patrícia; Bajor, Judit; Czimmer, József; Mikó, Alexandra; Márta, Katalin; Hágendorn, Roland; Márton, Zsolt; Verzár, Zsófia; Czakó, László; Szepes, Zoltán; Vincze, Áron; Hegyi, Péter.

In: Journal of Gastrointestinal and Liver Diseases, Vol. 27, No. 2, 01.06.2018, p. 151-157.

Research output: Contribution to journalArticle

Gódi, S, Erőss, B, Gyömbér, Z, Szentesi, A, Farkas, N, Párniczky, A, Sarlós, P, Bajor, J, Czimmer, J, Mikó, A, Márta, K, Hágendorn, R, Márton, Z, Verzár, Z, Czakó, L, Szepes, Z, Vincze, Á & Hegyi, P 2018, 'Centralized care for acute pancreatitis significantly improves outcomes', Journal of Gastrointestinal and Liver Diseases, vol. 27, no. 2, pp. 151-157. https://doi.org/10.15403/jgld.2014.1121.272.pan
Gódi, Szilárd ; Erőss, Bálint ; Gyömbér, Zsuzsanna ; Szentesi, Andrea ; Farkas, Nelli ; Párniczky, Andrea ; Sarlós, Patrícia ; Bajor, Judit ; Czimmer, József ; Mikó, Alexandra ; Márta, Katalin ; Hágendorn, Roland ; Márton, Zsolt ; Verzár, Zsófia ; Czakó, László ; Szepes, Zoltán ; Vincze, Áron ; Hegyi, Péter. / Centralized care for acute pancreatitis significantly improves outcomes. In: Journal of Gastrointestinal and Liver Diseases. 2018 ; Vol. 27, No. 2. pp. 151-157.
@article{5ca45729282f42c8983eff4b0e46a446,
title = "Centralized care for acute pancreatitis significantly improves outcomes",
abstract = "Aims: In this observational study, we investigated whether specialized care improves outcomes for acute pancreatitis (AP). Methods: Consecutive patients admitted to two university hospitals with AP were enrolled in this study between 1 January 2016 and 31 December 2016 (Center A: specialized center; Center B: general hospital). Data on demographic characteristics and AP etiology, severity, mortality and quality of care (enteral nutrition and antibiotic use) were extracted from the Hungarian Acute Pancreatitis Registry. An independent sample t-test, Mann–Whitney test, chi-squared test or Fisher’s test were used for statistical analyses. Costs of care were calculated and compared in the two models of care. Results: There were 355 patients enrolled, 195 patients in the specialized center (Center A) and 160 patients in the general hospital (Center B). There was no difference in mean age (57.02 ±17.16 vs. 57.31 ±16.50 P=0.872) and sex ratio (56{\%} males vs. 57{\%} males, P=0.837) between centres, allowing a comparison without selection bias. Center A had lower mortality (n=2, 1.03{\%} vs. n=16, 6.25{\%}, p=0.007), more patients received enteral feeding (n=179, 91.8{\%}, vs. n=36, 22.5{\%}, p<0.001) and fewer patients were treated with antibiotics (n=85, 43.6{\%} vs. n=123, 76.9{\%}, p=0.001). In Center A the median length of hospitalization was shorter (Me 6, IQR 5–9 vs. Me 8, IQR 6–11, p=0.02) and the costs of care were by 25{\%} lower. Conclusion: Our data suggests that treatment of AP in specialized centers reduces mortality, length of hospitalization and thus might reduce the costs.",
keywords = "Acute pancreatitis, Costs, Mortality, Outcome, Specialized center",
author = "Szil{\'a}rd G{\'o}di and B{\'a}lint Erőss and Zsuzsanna Gy{\"o}mb{\'e}r and Andrea Szentesi and Nelli Farkas and Andrea P{\'a}rniczky and Patr{\'i}cia Sarl{\'o}s and Judit Bajor and J{\'o}zsef Czimmer and Alexandra Mik{\'o} and Katalin M{\'a}rta and Roland H{\'a}gendorn and Zsolt M{\'a}rton and Zs{\'o}fia Verz{\'a}r and L{\'a}szl{\'o} Czak{\'o} and Zolt{\'a}n Szepes and {\'A}ron Vincze and P{\'e}ter Hegyi",
year = "2018",
month = "6",
day = "1",
doi = "10.15403/jgld.2014.1121.272.pan",
language = "English",
volume = "27",
pages = "151--157",
journal = "Journal of gastrointestinal and liver diseases : JGLD",
issn = "1841-8724",
publisher = "Romanian Society of Gastroenterology",
number = "2",

}

TY - JOUR

T1 - Centralized care for acute pancreatitis significantly improves outcomes

AU - Gódi, Szilárd

AU - Erőss, Bálint

AU - Gyömbér, Zsuzsanna

AU - Szentesi, Andrea

AU - Farkas, Nelli

AU - Párniczky, Andrea

AU - Sarlós, Patrícia

AU - Bajor, Judit

AU - Czimmer, József

AU - Mikó, Alexandra

AU - Márta, Katalin

AU - Hágendorn, Roland

AU - Márton, Zsolt

AU - Verzár, Zsófia

AU - Czakó, László

AU - Szepes, Zoltán

AU - Vincze, Áron

AU - Hegyi, Péter

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Aims: In this observational study, we investigated whether specialized care improves outcomes for acute pancreatitis (AP). Methods: Consecutive patients admitted to two university hospitals with AP were enrolled in this study between 1 January 2016 and 31 December 2016 (Center A: specialized center; Center B: general hospital). Data on demographic characteristics and AP etiology, severity, mortality and quality of care (enteral nutrition and antibiotic use) were extracted from the Hungarian Acute Pancreatitis Registry. An independent sample t-test, Mann–Whitney test, chi-squared test or Fisher’s test were used for statistical analyses. Costs of care were calculated and compared in the two models of care. Results: There were 355 patients enrolled, 195 patients in the specialized center (Center A) and 160 patients in the general hospital (Center B). There was no difference in mean age (57.02 ±17.16 vs. 57.31 ±16.50 P=0.872) and sex ratio (56% males vs. 57% males, P=0.837) between centres, allowing a comparison without selection bias. Center A had lower mortality (n=2, 1.03% vs. n=16, 6.25%, p=0.007), more patients received enteral feeding (n=179, 91.8%, vs. n=36, 22.5%, p<0.001) and fewer patients were treated with antibiotics (n=85, 43.6% vs. n=123, 76.9%, p=0.001). In Center A the median length of hospitalization was shorter (Me 6, IQR 5–9 vs. Me 8, IQR 6–11, p=0.02) and the costs of care were by 25% lower. Conclusion: Our data suggests that treatment of AP in specialized centers reduces mortality, length of hospitalization and thus might reduce the costs.

AB - Aims: In this observational study, we investigated whether specialized care improves outcomes for acute pancreatitis (AP). Methods: Consecutive patients admitted to two university hospitals with AP were enrolled in this study between 1 January 2016 and 31 December 2016 (Center A: specialized center; Center B: general hospital). Data on demographic characteristics and AP etiology, severity, mortality and quality of care (enteral nutrition and antibiotic use) were extracted from the Hungarian Acute Pancreatitis Registry. An independent sample t-test, Mann–Whitney test, chi-squared test or Fisher’s test were used for statistical analyses. Costs of care were calculated and compared in the two models of care. Results: There were 355 patients enrolled, 195 patients in the specialized center (Center A) and 160 patients in the general hospital (Center B). There was no difference in mean age (57.02 ±17.16 vs. 57.31 ±16.50 P=0.872) and sex ratio (56% males vs. 57% males, P=0.837) between centres, allowing a comparison without selection bias. Center A had lower mortality (n=2, 1.03% vs. n=16, 6.25%, p=0.007), more patients received enteral feeding (n=179, 91.8%, vs. n=36, 22.5%, p<0.001) and fewer patients were treated with antibiotics (n=85, 43.6% vs. n=123, 76.9%, p=0.001). In Center A the median length of hospitalization was shorter (Me 6, IQR 5–9 vs. Me 8, IQR 6–11, p=0.02) and the costs of care were by 25% lower. Conclusion: Our data suggests that treatment of AP in specialized centers reduces mortality, length of hospitalization and thus might reduce the costs.

KW - Acute pancreatitis

KW - Costs

KW - Mortality

KW - Outcome

KW - Specialized center

UR - http://www.scopus.com/inward/record.url?scp=85049244359&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85049244359&partnerID=8YFLogxK

U2 - 10.15403/jgld.2014.1121.272.pan

DO - 10.15403/jgld.2014.1121.272.pan

M3 - Article

VL - 27

SP - 151

EP - 157

JO - Journal of gastrointestinal and liver diseases : JGLD

JF - Journal of gastrointestinal and liver diseases : JGLD

SN - 1841-8724

IS - 2

ER -