Department of Gastroenterology and Hepatology, King Fahad Medical City, Riyadh, Saudi Arabia.
J Epidemiol Glob Health. 2019 Sep;9(3):158-162. doi: 10.2991/jegh.k.190524.001.
Epidemiological studies on Acute Pancreatitis (AP) are significantly scarce in the Saudi Arabian Literature. In this paper, we aim to explore the current trends of AP in a sample of Saudi patients. This is a cross-sectional study in which we reviewed AP-related admissions from 2014 to 2017. Data collected included demographics, clinical presentation, investigations, severity, complications, and the outcome at the end of hospitalization. During the study period, 107 patients were admitted due to AP. Fifty-seven (53%) were males. Biliary pancreatitis was the most common etiology found among our patients (39.3%; 95% CI: 30.5-48.7), followed by alcoholic pancreatitis (11.2%; 95% CI: 6.5-18.6) and hypertriglyceridemia (8%; 95% CI: 4.5-15.2). Pancreatic pseudocysts were the most common complication we found in this series (15%; 95% CI: 9.4-23). Of all the hospitalized patients in this study, eight patients (7.9%) died (95% CI: 3.8-14.1). The number of AP-related admissions and mortality rate appear to have increased as compared with the numbers in earlier national studies. The etiological groups have also changed. As compared with Western/Asian studies, however, there was almost no difference in the epidemiological patterns except for the mortality rate.
在沙特阿拉伯文献中,关于急性胰腺炎(AP)的流行病学研究非常有限。在本文中,我们旨在探讨沙特患者中 AP 的当前趋势。这是一项横断面研究,我们回顾了 2014 年至 2017 年期间与 AP 相关的住院患者。收集的数据包括人口统计学、临床表现、检查、严重程度、并发症以及住院结束时的结局。在研究期间,有 107 名患者因 AP 住院。其中 57 名(53%)为男性。在我们的患者中,胆源性胰腺炎是最常见的病因(39.3%;95%CI:30.5-48.7%),其次是酒精性胰腺炎(11.2%;95%CI:6.5-18.6%)和高甘油三酯血症(8%;95%CI:4.5-15.2%)。在本系列中,我们发现胰腺假性囊肿是最常见的并发症(15%;95%CI:9.4-23%)。在这项研究中所有住院的患者中,有 8 名患者(7.9%)死亡(95%CI:3.8-14.1%)。与早期的全国性研究相比,AP 相关住院人数和死亡率似乎有所增加。病因组也发生了变化。然而,与西方/亚洲的研究相比,除了死亡率外,流行病学模式几乎没有差异。