Table 1.

Both groups were demographically consistent (53.8% men / 46.2% women, p=0.847; averge age: 56.98 ±15.9, p=0.794).

The average BMI was significantly higher among cases (30.57 ±5.99 vs. 28.10 ±5.31, p=0.037). In both groups, about one third were had BMI values <25 kg/m², but 55.2% and 33.4%, respectively, had BMI values >30 kg/m².

Among cases, 72.4% had a Balthazar score E, compared to 38.7% among controls, this difference being statistically significant (p < 0.001).

Cases had relatively more patients with severe necrosis (31.0% with more than half of the pancreas affected, 44.8% with no necrosis), compared to cases (7.7%, while 72.3% had no necrosis), whcih was statistically significant (p < 0.001).

Without statistical significance, cases had relatively more ethanolic / metabolic etiology, and moderate (compared to mild) panceatitis by Altlanta score, compared to controls.

Variable

Details

Cases

Control

Total

Statistics

Group

29 (8.8%)

300 (91.2%)

329

Sex

F

14 (48.3%)

138 (46.0%)

152 (46.2%)

OR=1.10 [0.51, 2.35] (p=0.847)

M

15 (51.7%)

162 (54.0%)

177 (53.8%)

Age (years)

M (min:max)

53 (34:86)

60 (18:90)

59 (18:90)

MW: p=0.794

μ ±SD

57.10 ±14.1

56.96 ±16.1

56.98 ±15.9

BMI (kg/m²)

M (min:max)

31.64 (21.46:41.13)

27.35 (15.4:44.6)

27.5 (15.4:44.6)

MW: p=0.037

μ ±SD

30.57 ±5.99

28.10 ±5.31

28.32 ±5.41

Etiology

biliary

16 (55.2%)

201 (68.1%)

217 (67.0%)

OR=0.58 [0.27, 1.25] (p=0.213)

ethanolic+metabolic

13 (44.8%)

94 (31.9%)

107 (33.0%)

Etiology (details)

biliary

16 (55.2%)

201 (67.0%)

217 (66.0%)

V=0.15 (p=0.056)

ethanolic

8 (27.6%)

79 (26.3%)

87 (26.4%)

metabolic

5 (17.2%)

15 (5.0%)

20 (6.1%)

other

0

5 (1.7%)

5 (1.5%)

DM onset

at onset of AP

22 (75.9%)

0 (NA)

22 (75.9%)

OR=3.00 [0.05, 164.80] (p>0.999)

late onset

7 (24.1%)

0 (NA)

7 (24.1%)

Time to DM

at onset of AP

21 (72.4%)

0 (NA)

21 (72.4%)

V=NA (p>0.999)

[1-3) months

2 (6.9%)

0 (NA)

2 (6.9%)

≥3 months

6 (20.7%)

0 (NA)

6 (20.7%)

No. AP episodes

M (min:max)

1 (1:3)

1 (1:6)

1 (1:6)

MW: p=0.463

μ ±SD

1.21 ±0.559

1.28 ±0.644

1.27 ±0.637

No. of AP episodes

1

25 (86.2%)

240 (80.0%)

265 (80.5%)

V=0.08 (p=0.742)

2

2 (6.9%)

43 (14.3%)

45 (13.7%)

3

2 (6.9%)

13 (4.3%)

15 (4.6%)

4

0

3 (1.0%)

3 (0.9%)

5

0

0

0

6

0

1 (0.3%)

1 (0.3%)

Atlanta severity

mild

5 (17.2%)

112 (37.3%)

117 (35.6%)

V=0.12 (p=0.079)

moderate

20 (69.0%)

147 (49.0%)

167 (50.8%)

severe

4 (13.8%)

41 (13.7%)

45 (13.7%)

Balthazar score

A

2 (6.9%)

24 (8.0%)

26 (7.9%)

V=0.20 (p=0.010)

B

2 (6.9%)

31 (10.3%)

33 (10.0%)

C

2 (6.9%)

68 (22.7%)

70 (21.3%)

D

2 (6.9%)

61 (20.3%)

63 (19.1%)

E

21 (72.4%)

116 (38.7%)

137 (41.6%)

Necrosis severity

0%

13 (44.8%)

217 (72.3%)

230 (69.9%)

V=0.23 (p<0.001)

0-30%

4 (13.8%)

31 (10.3%)

35 (10.6%)

30-50%

3 (10.3%)

29 (9.7%)

32 (9.7%)

>50%

9 (31.0%)

23 (7.7%)

32 (9.7%)

Obesity

no

9 (31.0%)

103 (34.8%)

112 (34.5%)

V=0.14 (p=0.040)

overweight

4 (13.8%)

94 (31.8%)

98 (30.2%)

yes

16 (55.2%)

99 (33.4%)

115 (35.4%)

BMI classes

[15,20)

0

4 (1.4%)

4 (1.2%)

V=0.18 (p=0.056)

[20,25)

9 (31.0%)

99 (33.4%)

108 (33.2%)

[25,30)

4 (13.8%)

94 (31.8%)

98 (30.2%)

[30,35)

7 (24.1%)

60 (20.3%)

67 (20.6%)

[35,40)

8 (27.6%)

29 (9.8%)

37 (11.4%)

[40,45]

1 (3.4%)

10 (3.4%)

11 (3.4%)

μ ±SD = Mean (standard deviation); M (min:max) = Median (min:max); MW = Mann-Whitney Test; Welch = Welch T-Test (not assuming equal variances); OR/RR = odds-ratio / risk-ratio [95% CI] and p value from Fisher test); V = Cramér V (p value from Chi² test);

Table 2.

Regarding laboratory parameters, we found that cases had significntly higher median values for Triglycerides (167 vs. 124 mg/dL, p=0.022), LDH (580 vs. 432 IU/L, p<0.001) and CRP (18 vs. 4.62 mg/dL, p<0.001).

Variable

Details

Cases

Control

Total

Statistics

Group

29 (8.8%)

300 (91.2%)

329

Cholesterol (mg/dL)

M (min:max)

194 (71:1227)

198.5 (66:4673)

198 (66:4673)

MW: p=0.895

μ ±SD

247.90 ±213.4

243.97 ±351.5

244.32 ±341.4

Triglycerides (mg/dL)

M (min:max)

167 (69:5564)

124 (43:9165)

130 (43:9165)

MW: p=0.022

μ ±SD

716.52 ±1480.5

283.43 ±906.2

321.60 ±975.1

Hematocrite (%)

M (min:max)

40 (24:88.5)

39.95 (24:67.6)

40 (24:88.5)

MW: p=0.146

μ ±SD

42.50 ±10.8

39.97 ±6.44

40.19 ±6.95

Urea (mg/dL)

M (min:max)

45 (18:84)

46 (15:157)

46 (15:157)

MW: p=0.123

μ ±SD

45.90 ±18.8

54.13 ±25.4

53.40 ±24.9

Creatinine (mg/dL)

M (min:max)

0.82 (0.32:3.27)

0.78 (0.01:5.13)

0.78 (0.01:5.13)

MW: p=0.062

μ ±SD

1.10 ±0.664

0.862 ±0.475

0.882 ±0.498

LDH (IU/L)

M (min:max)

580 (235:1686)

432 (200:1178)

432 (200:1686)

MW: p<0.001

μ ±SD

664.38 ±350.1

457.51 ±182.8

477.51 ±213.1

CPR (mg/dL)

M (min:max)

18 (0.5:70)

4.62 (0.11:36.8)

5.45 (0.11:70)

MW: p<0.001

μ ±SD

17.38 ±13.7

8.03 ±8.56

8.86 ±9.48

Procalcitonin (mg/dL)

M (min:max)

0.2 (0.1:8)

0.1 (0.01:10)

0.1 (0.01:10)

MW: p=0.072

μ ±SD

0.91 ±1.78

1.08 ±2.31

1.06 ±2.26

μ ±SD = Mean (standard deviation); M (min:max) = Median (min:max); MW = Mann-Whitney Test; Welch = Welch T-Test (not assuming equal variances); OR/RR = odds-ratio / risk-ratio [95% CI] and p value from Fisher test); V = Cramér V (p value from Chi² test);

Table 3.

Cases had significantly more systemic complications thn controls (55.2% vs. 29.7%, p=0.007). All other complications had higher prevalenceamong cases but the differences were not signoficant.

Variable

Cases

Control

Total

Statistics

Group

29 (8.8%)

300 (91.2%)

329

Local complications

24 (82.8%)

176 (58.7%)

200 (60.8%)

OR=3.38 [1.26, 9.11] (p=0.015)

CT at 1 month

8 (27.6%)

48 (16.0%)

56 (17.0%)

OR=2.00 [0.84, 4.78] (p=0.123)

Infection

7 (24.1%)

40 (13.3%)

47 (14.3%)

OR=2.07 [0.83, 5.16] (p=0.158)

Systemic complications

16 (55.2%)

89 (29.7%)

105 (31.9%)

OR=2.92 [1.35, 6.32] (p=0.007)

Necrosectomy

7 (24.1%)

35 (11.7%)

42 (12.8%)

OR=2.41 [0.96, 6.05] (p=0.075)

Transient organ failure <48 h

6 (20.7%)

42 (14.0%)

48 (14.6%)

OR=1.60 [0.62, 4.17] (p=0.405)

Transient organ failure >48 h

4 (13.8%)

21 (7.0%)

25 (7.6%)

OR=2.13 [0.68, 6.68] (p=0.257)

μ ±SD = Mean (standard deviation); M (min:max) = Median (min:max); MW = Mann-Whitney Test; Welch = Welch T-Test (not assuming equal variances); OR/RR = odds-ratio / risk-ratio [95% CI] and p value from Fisher test); V = Cramér V (p value from Chi² test);

.