Preexisting Diabetes Elevates Risk of Local and Systemic Complications in Acute Pancreatitis

Systematic Review and Meta-analysis

Alexandra Mikó, Nelli Farkas, András Garami, Imre Szabó, A. Vincze, G. Verès, Judit Bajor, Hussain Alizadeh, Z. Rakonczay, Éva Vigh, Katalin Márta, Zoltán Kiss, Péter Hegyi, L. Czakó

Research output: Contribution to journalReview article

Abstract

The prevalence of diabetes mellitus (DM) and acute pancreatitis (AP) increases continuously, therefore, to understand the effects of preexisting diabetes on AP is crucially needed. Here, we performed a systematic review and meta-analysis in which AP patients including DM and non-DM groups were sorted. Several outcome parameters were analyzed, and the odds ratio (OR) and standardized mean difference with 95% confidence intervals (CIs) were calculated. We found 1417 articles, of which 9 articles involving 354,880 patients were analyzed. More complications were seen in diabetic patients than in non-DM patients (OR, 1.553 [95% CI, 1.266-1.904]; P < 0.001). Intensive care unit admission (OR, 1.799 [95% CI, 1.442-2.243]; P < 0.001) and renal failure (OR, 1.585 [95% CI, 1.278-1.966]; P < 0.001) were more frequent in DM patients. There was a tendency of higher mortality and local complications (OR, 1.276 [95% CI, 0.991-1.643]; P = 0.059; and OR, 1.267 [95% CI, 0.964-1.659]; P = 0.090, respectively) in preexisting DM. Length of hospitalization was longer in DM patients (standardized mean difference, 0.217 [95% CI, 0.075-0.360]; P = 0.003). Preexisting DM negatively influences the outcome of AP and increases the risk of renal failure, local complications, and mortality.

Original languageEnglish
Pages (from-to)917-923
Number of pages7
JournalPancreas
Volume47
Issue number8
DOIs
Publication statusPublished - Sep 1 2018

Fingerprint

Pancreatitis
Meta-Analysis
Diabetes Mellitus
Confidence Intervals
Odds Ratio
Renal Insufficiency
Mortality
Intensive Care Units
Hospitalization

Keywords

  • acute pancreatitis
  • complications
  • diabetes mellitus
  • length of hospitalization
  • mortality

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

Cite this

Preexisting Diabetes Elevates Risk of Local and Systemic Complications in Acute Pancreatitis : Systematic Review and Meta-analysis. / Mikó, Alexandra; Farkas, Nelli; Garami, András; Szabó, Imre; Vincze, A.; Verès, G.; Bajor, Judit; Alizadeh, Hussain; Rakonczay, Z.; Vigh, Éva; Márta, Katalin; Kiss, Zoltán; Hegyi, Péter; Czakó, L.

In: Pancreas, Vol. 47, No. 8, 01.09.2018, p. 917-923.

Research output: Contribution to journalReview article

Mikó, Alexandra ; Farkas, Nelli ; Garami, András ; Szabó, Imre ; Vincze, A. ; Verès, G. ; Bajor, Judit ; Alizadeh, Hussain ; Rakonczay, Z. ; Vigh, Éva ; Márta, Katalin ; Kiss, Zoltán ; Hegyi, Péter ; Czakó, L. / Preexisting Diabetes Elevates Risk of Local and Systemic Complications in Acute Pancreatitis : Systematic Review and Meta-analysis. In: Pancreas. 2018 ; Vol. 47, No. 8. pp. 917-923.
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AU - Vincze, A.

AU - Verès, G.

AU - Bajor, Judit

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AU - Rakonczay, Z.

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