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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?ConclusionThe H/L ratio at the time of admission to the ICU appears to be a biomarker of disease progression in patients with acute pancreatitis.
SUBMITTER: Wu Q
PROVIDER: S-EPMC7254649 | biostudies-literature | 2020 May
REPOSITORIES: biostudies-literature
Wu Qin Q Zhong Xi X Fu Min M Yang Hao H Bo Hong H Liao Xuelian X Hu Zhi Z Wang Bo B Zhang Zhongwei Z Jin Xiaodong X Kang Yan Y
BMC gastroenterology 20200527 1
<h4>Background</h4>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.<h4>Aim</h4>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 ...[more]