Revista espanola de enfermedades digestivas · 2025
Visceral adiposity index as a key predictor of severity in acute pancreatitis - A large-scale retrospective cohort study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wang Tingting, Cao Fei, He Jiajun, Zhu Lei, Yang Xiaoxi, Ma Shuli, Zhu Quping, Li Yuanhao, Yang Chuting, Liu Jun, Chen Chaowu, Weiwei Chen
Аннотация
BACKGROUND AND AIMS: visceral adipose tissue has been closely connected with the severity of acute pancreatitis (AP). Visceral adiposity index (VAI) is a mathematical model that consists of waist circumference, body mass index, triglyceride and high-density lipoprotein cholesterol, which has been demonstrated to be a better indicator of visceral fat than other traditional indices. This study aimed to evaluate the relationship between VAI and the severity of AP.
METHODS: a retrospective analysis was conducted on a cohort of 1,174 patients diagnosed with AP. These patients were categorized into two groups based on their VAI values: normal VAI (NVAI) group and elevated VAI (EVAI) group.
RESULTS: the EVAI group patients were much younger, mainly male, and had a higher incidence of severe acute pancreatitis (SAP) compared with the NVAI group (p < 0.001). The EVAI group had a higher incidence of persistent respiratory failure, acute peripancreatic fluid collection (APFC) and acute necrotic collection (ANC). The VAI level and the percentage of EVAI showed an increasing trend with the severity of AP (p < 0.001). EVAI was the most independent risk factor for persistent respiratory failure (OR = 6.405, 95 % CI: 2.317-17.705), APFC (OR = 2.093, 95 % CI: 1.255-3.578) and ANC (OR = 4.910, 95 % CI: 1.736-13.887).
CONCLUSIONS: EVAI was strongly related to the severity of AP. It was the most independent risk factor of persistent respiratory failure, APFC and ANC.
METHODS: a retrospective analysis was conducted on a cohort of 1,174 patients diagnosed with AP. These patients were categorized into two groups based on their VAI values: normal VAI (NVAI) group and elevated VAI (EVAI) group.
RESULTS: the EVAI group patients were much younger, mainly male, and had a higher incidence of severe acute pancreatitis (SAP) compared with the NVAI group (p < 0.001). The EVAI group had a higher incidence of persistent respiratory failure, acute peripancreatic fluid collection (APFC) and acute necrotic collection (ANC). The VAI level and the percentage of EVAI showed an increasing trend with the severity of AP (p < 0.001). EVAI was the most independent risk factor for persistent respiratory failure (OR = 6.405, 95 % CI: 2.317-17.705), APFC (OR = 2.093, 95 % CI: 1.255-3.578) and ANC (OR = 4.910, 95 % CI: 1.736-13.887).
CONCLUSIONS: EVAI was strongly related to the severity of AP. It was the most independent risk factor of persistent respiratory failure, APFC and ANC.