| Title: |
Hospital admission for acute pancreatitis in the Irish population, 1997-2004: could the increase be due to an increase in alcohol-related pancreatitis? |
| Authors: |
O'Farrell, A; Allwright, S; Toomey, D; Bedford, D; Conlon, K |
| Publication Year: |
2007 |
| Collection: |
The University of Dublin, Trinity College: TARA (Trinity's Access to Research Archive) |
| Subject Terms: |
Acute pancreatitis; Alcohol misuse; Emergency in-patient hospital admissions; Ireland |
| Description: |
Objective: To investigate trends in the incidence of acute pancreatitis by examining emergency admissions to acute public hospitals over an 8-year period; to compare trends for alcohol-related pancreatitis admissions with biliary tract-related admissions and to profile the patients admitted with an acute pancreatitis diagnosis. Methods: All in-patient emergency admissions for which an acute pancreatitis diagnosis (ICD-9-CM Code 577.0) was recorded as principal diagnosis were identified for years 1997–2004 inclusive. Alcohol-related acute pancreatitis admissions (i.e. had alcohol misuse recorded as co-morbidity) were identified using ICD-9-CM-codes 303 and 305. Biliary tract disease-related admissions (i.e. had biliary tract disease recorded as co-morbidity) were identified using ICD-9-CM codes 574.0–576.0 inclusive. Pearson's χ2-test was used to compare proportions in groups of categorical data and χ2-tests for trend were used to identify linear trends. Results: There were 6291 emergency admissions with a principal diagnosis of acute pancreatitis during the 8 year study period, with 622 admissions in 1997 compared to 959 admissions in 2004, an increase of 54.1%. Age standardized rates rose significantly from 17.5 per 100 000 population in 1997 to 23.6 per 100 000 in 2004, (P < 0.01 for linear trend). There were 1205 admissions with alcohol misuse recorded as a co-morbidity increasing from 13.9% (87/622) of acute pancreatitis admissions in 1997 to 23.2% (223/959) in 2004. This increase was significantly greater than the increase observed for biliary tract disease-related admissions, 19.6% (122/622) in 1997 to 23.5% (225/959) in 2004. Rates for total acute pancreatitis admissions were highest in those aged 70 years and over; the majority (3563, 56.6%) of the admissions were male with a mean age of 51.1 years (SD 19.9); the mean age for male admissions was significantly younger than for female admissions (49.1 versus 53.6 years, P < 0.001). However, for alcohol-related admissions, rates were highest in those ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/msword |
| Language: |
English |
| Relation: |
29; 4; Journal of Public Health; Y; https://academic.oup.com/jpubhealth/article/29/4/398/1568541; http://hdl.handle.net/2262/91827; http://people.tcd.ie/sllwrght; 47807; https://doi.org/10.1093/pubmed/fdm069 |
| DOI: |
10.1093/pubmed/fdm069 |
| Availability: |
http://hdl.handle.net/2262/91827; https://academic.oup.com/jpubhealth/article/29/4/398/1568541; http://people.tcd.ie/sllwrght; https://doi.org/10.1093/pubmed/fdm069 |
| Rights: |
Y ; openAccess |
| Accession Number: |
edsbas.D55ACF59 |
| Database: |
BASE |