Pleural effusion volume in patients with acute pancreatitis: a retrospective study from three acute pancreatitis centers

Ann Med. 2021 Dec;53(1):2003-2018. doi: 10.1080/07853890.2021.1998594.

Abstract

Objective: To assess the value of pleural effusion volume (PEV) quantified on chest computed tomography (CT) in patients with early stage acute pancreatitis (AP).

Methods: Data of PEV, and C-reactive protein (CRP) levels as well as Ranson, bedside index of severity in acute pancreatitis (BISAP), Marshall, acute physiology and chronic health evaluation II (APACHE II), CT severity index (CTSI), and extra-pancreatic inflammation on computed tomography (EPIC) scores in patients with AP were collected. Duration of hospitalization, severity of AP, infection, procedure, intensive care unit (ICU) admission, organ failure, or death were included as the outcome parameters.

Results: In 465 patients, the mean PEV was 98.8 ± 113.2 mL. PEV showed strong and significant correlations with the CRP levels, duration of hospitalization as well as the Ranson, BISAP, Marshall, APACHE II, CTSI, and EPIC scores (p < .05). PEV demonstrated significant accuracy in predicting severity, infection, procedure, ICU admission, organ failure, and death (p < .05).

Conclusion: PEV quantified on chest CT positively associated with the duration of hospitalization, CRP levels, Ranson, BISAP, Marshall, APACHE II, CTSI, and EPIC scores. It can be a reliable radiologic biomarker in predicting severity and clinical outcomes of AP.KEY MESSAGESPleural effusion is a common chest finding in patients with acute pancreatitis.Pleural effusion volume quantified on chest CT examination positively associated with the duration of hospitalization, CRP level, as well as Ranson, BISAP, Marshall, APACHE II, CTSI, and EPIC scoring systems.Pleural effusion volume can be a reliable radiologic biomarker in the prediction of severity and clinical outcomes of acute pancreatitis.

Keywords: Pleural effusion; acute pancreatitis; computed tomography.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers
  • Female
  • Humans
  • Lung / diagnostic imaging*
  • Male
  • Middle Aged
  • Pancreatitis / complications
  • Pancreatitis / diagnosis
  • Pancreatitis / diagnostic imaging*
  • Pleural Effusion / diagnostic imaging*
  • Pleural Effusion / etiology
  • Predictive Value of Tests
  • Prognosis
  • Retrospective Studies
  • Severity of Illness Index
  • Tomography, X-Ray Computed

Substances

  • Biomarkers

Grants and funding

This project was supported by grants from the Sichuan Provincial Commission of Health (Grant No. 18PJ138, 19PJ283, 19PJ284, 20PJ284), Sichuan Provincial Department of Science and Technology (Grant No. 2019YFQ0028), and Science and Technology Association of Suining City (Grant No. 6).