Serum Triglyceride Level: A Predictor of Complications and Outcomes in Acute Pancreatitis?

ABSTRACT

Aim. To study serum triglyceride level as a predictor of complications and outcomes in acute pancreatitis. Methods. In this retrospective observational study, 582 patients admitted with acute pancreatitis, who had serum triglyceride levels measured within the first 24 hours, were divided into two groups. The study group consisted of patients with a triglyceride level ≥2.26 mmol/L (group 2) and the control group consisted of triglyceride level of <2.26 mmol/L (group 1). We collected data for baseline demographics, laboratory values, incidence of complications (local and systemic), admission to the intensive care unit (ICU), ICU length of stay, length of total hospital stay, and death in the two groups. Results. A triglyceride level of ≥2.26 mmol/L was found to be an independent predictor of developing altered mental status (p 0.004), pancreatic necrosis (p 0.001), acute respiratory distress syndrome (p 0001), systemic Inflammatory response syndrome (p 0.001), acute kidney injury (p 0.001), hospital length of stay (LOS) (p 0.002), admission to intensive care unit (ICU) (p 0.002), and ICU LOS (p 0.003). Conclusion. A triglyceride level of ≥2.26 mmol/L on admission in acute pancreatitis is an independent predictor of developing local and systemic complications, hospital LOS, admission to ICU, and ICU LOS.