Elfert Khaled, Chamay Salomon, Santos Lamin Dos, Mohamed Mouhand, Beran Azizullah, Jaber Fouad, Abosheaishaa Hazem, Nayudu Suresh, Ho Sammy
Department of Internal Medicine, SBH Health System, New York, NY, USA.
Department of Internal Medicine, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Clin Endosc. 2024 Jan;57(1):105-111. doi: 10.5946/ce.2023.054. Epub 2023 Aug 4.
BACKGROUND/AIMS: The pancreatic pseudocyst (PP) is a type of fluid collection that typically develops as a delayed complication of acute pancreatitis. Drainage is indicated for symptomatic patients and/or associated complications, such as infection and bleeding. Drainage modalities include percutaneous, endoscopic, laparoscopic, and open drainage. This study aimed to assess trends in the utilization of different drainage modalities for treating PP from 2016 to 2020. The trends in mortality, mean length of hospital stay, and mean hospitalization costs were also assessed.
The National Inpatient Sample database was used to obtain data. The variables were generated using International Classification of Diseases-10 diagnostic and procedural codes.
Endoscopic drainage was the most commonly used drainage modality in 2018-2020, with an increasing trend over time (385 procedures in 2018 to 515 in 2020; p=0.003). This is associated with a decrease in the use of other drainage modalities. A decrease in the hospitalization cost for PP requiring drainage was also noted (29,318 United States dollar [USD] in 2016 to 18,087 USD in 2020, p<0.001).
Endoscopic drainage is becoming the most commonly used modality for the treatment of PP in hospitals located in the US. This new trend is associated with decreasing hospitalization costs.
背景/目的：胰腺假性囊肿（PP）是一种液体积聚，通常作为急性胰腺炎的延迟并发症而形成。对于有症状的患者和/或相关并发症（如感染和出血），需要进行引流。引流方式包括经皮引流、内镜引流、腹腔镜引流和开放引流。本研究旨在评估2016年至2020年期间不同引流方式治疗PP的使用趋势。还评估了死亡率、平均住院时间和平均住院费用的趋势。
使用国家住院样本数据库获取数据。变量通过国际疾病分类第10版诊断和程序编码生成。
内镜引流是2018 - 2020年最常用的引流方式，且随时间呈上升趋势（2018年为385例，2020年为515例；p = 0.003）。这与其他引流方式的使用减少有关。还注意到需要引流的PP患者住院费用有所下降（2016年为29318美元，2020年为18087美元，p < 0.001）。
在美国的医院中，内镜引流正成为治疗PP最常用的方式。这一新趋势与住院费用降低有关。
