From the Medicine Institute.
Division of Gastroenterology and Hepatology, Allegheny Health Network, Pittsburgh, PA.
Pancreas. 2021 Apr 1;50(4):544-548. doi: 10.1097/MPA.0000000000001811.
Acute pancreatitis (AP) is a leading cause of inpatient care among gastrointestinal conditions. Our study compares the management of AP and adherence to guidelines among teaching medicine, nonteaching medicine, and surgical services within the same center.
We performed a retrospective chart review of AP patients admitted to our center between January 2016 and January 2017 and analyzed the clinical and epidemiological data.
Of 115 patients, 65% were admitted to medicine (IM), and 35% were admitted to surgery. Mean age was 53.9 (standard deviation [SD], 15) years, and 52% were males; 38.6% (n = 29) of IM patients were prescribed lactated Ringer's solution for fluid resuscitation (mean rate of 153 [SD, 44.98] mL/h on teaching and 113 [SD, 43.56] mL/h on the nonteaching service). Antibiotics were prescribed to 22.6% (n = 17) of IM patients. On the surgical service, 77.5% of patients were prescribed lactated Ringer's solution for fluid resuscitation (mean rate of 108.25 [SD, 1.19] mL/h); 52.5% of patients received antibiotics.
Adherence to guidelines for management of AP is inadequate, and nonuniformity exists across different services within the same institution. There is a need for quality improvement initiatives.
急性胰腺炎（AP）是住院治疗胃肠道疾病的主要原因。我们的研究比较了同一中心的教学医学、非教学医学和外科服务在治疗 AP 和遵循指南方面的情况。
我们对 2016 年 1 月至 2017 年 1 月期间我院收治的 AP 患者进行了回顾性病历分析，并对临床和流行病学数据进行了分析。
在 115 名患者中，65%被收入内科（IM），35%被收入外科。平均年龄为 53.9（标准差 [SD]，15）岁，52%为男性；38.6%（n=29）的 IM 患者接受乳酸林格氏液进行液体复苏（教学服务的平均速率为 153[SD，44.98]mL/h，非教学服务的平均速率为 113[SD，43.56]mL/h）。22.6%（n=17）的 IM 患者接受了抗生素治疗。在外科服务中，77.5%的患者接受乳酸林格氏液进行液体复苏（平均速率为 108.25[SD，1.19]mL/h）；52.5%的患者接受了抗生素治疗。
AP 管理指南的遵循情况不足，同一机构内不同服务之间存在不一致性。需要进行质量改进举措。
