High-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio in early assessment of disease severity and outcome in patients with acute pancreatitis admitted to the ICU
Abstract Background Patients with acute pancreatitis usually exhibit dyslipidemia and oxidative stress. However, the significance of high-density lipoprotein cholesterol (HDL-C) level, low-density lipoprotein cholesterol (LDL-C) level and the HDL-C/LDL-C ratio (H/L ratio) as markers for disease prog...
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doaj-0772fd155bbf4b57b0ed164d899b74ed2020-11-25T03:43:26ZengBMCBMC Gastroenterology1471-230X2020-05-0120111010.1186/s12876-020-01315-xHigh-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio in early assessment of disease severity and outcome in patients with acute pancreatitis admitted to the ICUQin Wu0Xi Zhong1Min Fu2Hao Yang3Hong Bo4Xuelian Liao5Zhi Hu6Bo Wang7Zhongwei Zhang8Xiaodong Jin9Yan Kang10Department of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityAbstract Background Patients with acute pancreatitis usually exhibit dyslipidemia and oxidative stress. However, the significance of high-density lipoprotein cholesterol (HDL-C) level, low-density lipoprotein cholesterol (LDL-C) level and the HDL-C/LDL-C ratio (H/L ratio) as markers for disease progression remain unknown. Aim The aim of this study was to evaluate the role of HDL-C levels, LDL-C levels and the H/L ratio as markers of disease progression in patients admitted to the intensive cate unit with acute pancreatitis. Methods This retrospective study was conducted at a tertiary critical care center in China. Plasma HDL-C and LDL-C levels were measured in 166 patients with acute pancreatitis. The associations between HDL-C, LDL-C, H/L ratio, as well as other inflammatory index and mortality, were analyzed. Multivariate cox analysis based on two models was used to determine the independent prognostic factor. Predictive ability of in-hospital mortality for variables was determined using the receiver operating characteristics curves. Results Significantly higher H/L ratios at admission were observed in patients with acute pancreatitis who died compared with survivors (0.93 vs. 0.64, p < 0.001). The area under the ROC curve for H/L ratio–based prediction of mortality was 0.658. When clinical confounders were included in multivariable cox regression analysis, the association was preserved (Model A HR = 1.587, p = 0.011; Model B HR = 1.332, p = 0.032). The mortality risk in different groups defined by an H/L ratio cutoff value was significantly different, based on survival curve analysis. Conclusion The H/L ratio at the time of admission to the ICU appears to be a biomarker of disease progression in patients with acute pancreatitis.http://link.springer.com/article/10.1186/s12876-020-01315-xAcute pancreatitisHigh-density lipoprotein cholesterol, low-density lipoprotein cholesterolMortality |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Qin Wu Xi Zhong Min Fu Hao Yang Hong Bo Xuelian Liao Zhi Hu Bo Wang Zhongwei Zhang Xiaodong Jin Yan Kang |
spellingShingle |
Qin Wu Xi Zhong Min Fu Hao Yang Hong Bo Xuelian Liao Zhi Hu Bo Wang Zhongwei Zhang Xiaodong Jin Yan Kang High-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio in early assessment of disease severity and outcome in patients with acute pancreatitis admitted to the ICU BMC Gastroenterology Acute pancreatitis High-density lipoprotein cholesterol, low-density lipoprotein cholesterol Mortality |
author_facet |
Qin Wu Xi Zhong Min Fu Hao Yang Hong Bo Xuelian Liao Zhi Hu Bo Wang Zhongwei Zhang Xiaodong Jin Yan Kang |
author_sort |
Qin Wu |
title |
High-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio in early assessment of disease severity and outcome in patients with acute pancreatitis admitted to the ICU |
title_short |
High-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio in early assessment of disease severity and outcome in patients with acute pancreatitis admitted to the ICU |
title_full |
High-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio in early assessment of disease severity and outcome in patients with acute pancreatitis admitted to the ICU |
title_fullStr |
High-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio in early assessment of disease severity and outcome in patients with acute pancreatitis admitted to the ICU |
title_full_unstemmed |
High-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio in early assessment of disease severity and outcome in patients with acute pancreatitis admitted to the ICU |
title_sort |
high-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio in early assessment of disease severity and outcome in patients with acute pancreatitis admitted to the icu |
publisher |
BMC |
series |
BMC Gastroenterology |
issn |
1471-230X |
publishDate |
2020-05-01 |
description |
Abstract Background Patients with acute pancreatitis usually exhibit dyslipidemia and oxidative stress. However, the significance of high-density lipoprotein cholesterol (HDL-C) level, low-density lipoprotein cholesterol (LDL-C) level and the HDL-C/LDL-C ratio (H/L ratio) as markers for disease progression remain unknown. Aim The aim of this study was to evaluate the role of HDL-C levels, LDL-C levels and the H/L ratio as markers of disease progression in patients admitted to the intensive cate unit with acute pancreatitis. Methods This retrospective study was conducted at a tertiary critical care center in China. Plasma HDL-C and LDL-C levels were measured in 166 patients with acute pancreatitis. The associations between HDL-C, LDL-C, H/L ratio, as well as other inflammatory index and mortality, were analyzed. Multivariate cox analysis based on two models was used to determine the independent prognostic factor. Predictive ability of in-hospital mortality for variables was determined using the receiver operating characteristics curves. Results Significantly higher H/L ratios at admission were observed in patients with acute pancreatitis who died compared with survivors (0.93 vs. 0.64, p < 0.001). The area under the ROC curve for H/L ratio–based prediction of mortality was 0.658. When clinical confounders were included in multivariable cox regression analysis, the association was preserved (Model A HR = 1.587, p = 0.011; Model B HR = 1.332, p = 0.032). The mortality risk in different groups defined by an H/L ratio cutoff value was significantly different, based on survival curve analysis. Conclusion The H/L ratio at the time of admission to the ICU appears to be a biomarker of disease progression in patients with acute pancreatitis. |
topic |
Acute pancreatitis High-density lipoprotein cholesterol, low-density lipoprotein cholesterol Mortality |
url |
http://link.springer.com/article/10.1186/s12876-020-01315-x |
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