Long-term health-related quality of life in survivors of severe acute pancreatitis

Halonen, Kimmo I.; Pettilä, Ville; Leppäniemi, Ari K.; Kemppainen, Esko A.; Puolakkainen, Pauli A.; Haapiainen, Reijo K.; Pettilä, Ville; Leppäniemi, Ari K
May 2003
Intensive Care Medicine;May2003, Vol. 29 Issue 5, p782
Academic Journal
journal article
Objective: To evaluate the health-related quality of life (HRQL) and postdischarge outcome after severe acute pancreatitis.Design and Setting: Observational study in a department of surgery (surgical and general intensive care unit) in a tertiary care hospital.Patients and Participants: Of 283 patients with severe acute pancreatitis 211 survived; during a follow-up period an additional 27 died. The Rand 36-item Health Survey with accessory question was mailed to 174 eligible patients. The final study population comprised 145 patients (83% response rate). Age- and sex-matched Finnish population scores were compared with the study population; accessory questions were analyzed separately.Results: No clinically significant differences were found in long-term HRQL between study patients and the general population. Of the 145 patients 87% returned to work, 27% suffered recurrent pancreatitis, and 43% developed diabetes. Of 113 patients with alcohol-induced severe acute pancreatitis 30% were abstinent and 28% problem drinkers, alcohol-dependent, or alcoholics.Conclusions: Up to 13% of severe acute pancreatitis patients surviving initial hospitalization die within a few years. Among the survivors long-term HRQL is comparable to that of the normal population. The majority return to work and reduce their alcohol consumption markedly.


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