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. 2022 Nov 7:10:232-237.
doi: 10.1016/j.sopen.2022.10.010. eCollection 2022 Oct.

Readmission in acute pancreatitis: Etiology, risk factors, and opportunities for improvement

Affiliations

Readmission in acute pancreatitis: Etiology, risk factors, and opportunities for improvement

Brittany D Bogan et al. Surg Open Sci. .

Abstract

Acute pancreatitis is associated with a readmission rate ranging from 7 to 34%. Readmission rates are highest among biliary (4-37%) and alcohol-induced (2-60%) acute pancreatitis. Severe acute pancreatitis and necrotizing pancreatitis have readmission rates ranging from 20 to 75%. The most common causes of readmission include recurrent acute pancreatitis (17-45% of readmissions) and smoldering symptoms/local complications (17-38%). A number of risk scores reliably estimate risk of readmission in acute pancreatitis. Decreased rates of readmission were reported in patients that underwent same-admission cholecystectomy in biliary pancreatitis and alcohol cessation interventions in alcohol-induced pancreatitis. This review article discusses readmission in acute pancreatitis, including etiology, risk factors, and opportunities for improved patient care.

Keywords: Disease management; Pancreatitis; Patient readmission; Review.

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Conflict of interest statement

This manuscript has been reviewed and approved by all co-authors. None of the co-authors have any conflicts of interest to report. This manuscript has not been submitted to any other journal.

Figures

Fig. 1
Fig. 1
Readmission rates in acute pancreatitis Abbreviations: AP, acute pancreatitis; EtOH, alcohol; SAP, severe acute pancreatitis; NP, necrotizing pancreatitis.
Fig. 2
Fig. 2
Prediction scores for readmission risk in acute pancreatitis. 2A. Nomogram developed by Ding et al. 2B. The Pancreatitis Activity Scoring System and readmission risk validated by Buxbaum et al.

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