Division of Gastroenterology, University of California, Davis, Sacramento, CA.
Division of Internal Medicine, University of California, Davis, Sacramento, CA.
Medicine (Baltimore). 2024 Nov 29;103(48):e40789. doi: 10.1097/MD.0000000000040789.
Acute pancreatitis (AP) is an inflammatory disorder associated with a significant mortality rate in its severe form. This study aimed to evaluate the association between severity of AP and ABO/Rh blood type. Retrospective chart review was conducted on hospitalized patients who met the diagnostic criteria for AP. Data collected included patient demographics, ABO/Rh blood type, etiology of pancreatitis, severity based on the Atlanta classification, and hospital length of stay. The proportion of patients who experienced severe AP was compared amongst combinations of ABO/Rh blood group. Of the 358 patients included in the study, 20.9% had non-mild AP. The proportion of patients in each blood group with non-mild AP was as follows: A: 21.1%, B: 21.4%, AB: 5.9%, O: 30.9%, Rh+: 22.0%, Rh-: 14.8%. When comparing across A, B, AB, O and Rh groups separately and in combination, there was no statistically significant correlation found between AP severity and ABO/Rh blood type. In this retrospective cohort study, no significant association between ABO/Rh blood group and severity of AP was found, suggesting that the inflammatory cascade in AP is not directly influenced by blood groups.
急性胰腺炎 (AP) 是一种炎症性疾病,在严重形式下死亡率很高。本研究旨在评估 AP 的严重程度与 ABO/Rh 血型之间的关系。对符合 AP 诊断标准的住院患者进行回顾性图表审查。收集的数据包括患者的人口统计学特征、ABO/Rh 血型、胰腺炎病因、基于亚特兰大分类的严重程度以及住院时间长短。比较了 ABO/Rh 血型组合中发生严重 AP 的患者比例。在纳入研究的 358 名患者中,20.9%的患者患有非轻症 AP。每个血型组中非轻症 AP 的患者比例如下:A 型:21.1%、B 型:21.4%、AB 型:5.9%、O 型:30.9%、Rh+:22.0%、Rh-:14.8%。当分别比较 A、B、AB、O 和 Rh 组以及它们的组合时,未发现 AP 严重程度与 ABO/Rh 血型之间存在统计学显著相关性。在这项回顾性队列研究中,未发现 ABO/Rh 血型与 AP 严重程度之间存在显著关联,表明 AP 中的炎症级联反应不受血型直接影响。