1. Increased risk of type 3c diabetes mellitus after acute pancreatitis warrants a personalized approach including diabetes screening.
- Author
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Walker, Alexander, O'Kelly, James, Graham, Catriona, Nowell, Sian, Kidd, Doug, and Mole, Damian J
- Subjects
DIABETES ,MEDICAL screening ,PANCREATITIS ,CRITICAL care medicine ,INDIVIDUALIZED medicine - Abstract
Background Acute pancreatitis (AP) is a frequent cause of hospitalization with long-term health consequences, including type 3c diabetes mellitus (DM). The incidence and risk factors for new-onset morbidities after AP need to be clarified to inform a personalized medicine approach. Methods Using a longitudinal electronic healthcare record-linkage analysis, all patients admitted to hospital in Scotland with a first episode of AP between 1 April 2009 and 31 March 2012 and followed for a minimum of 5 years after their index AP admission were identified. All new-onset morbidity with specific focus on type 3c DM were analysed and, using time-split multiple regression. Results A total of 2047 patients were included. AP requiring critical care was followed by 2 years of heightened risk (HR 5.24) of developing type 3c DM, increased risk of new-onset cardiac disease (HR 1.61), and renal disease (HR 2.96). The additional risk conferred by critical care AP had a negative interaction with time, whereas additional risk associated with male sex and a non-gallstone aetiology was long lasting. Conclusion Based on these findings, a personalized approach to include type 3c DM screening for a minimum of 2 years for individuals who required critical care when hospitalized with AP is recommended. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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