[Long-term outcome and health-related quality of life in survivors of severe acute pancreatitis].
OBJECTIVE
To evaluate the health-related quality of life and postdischarge long-term outcome after severe acute pancreatitis.


METHODS
The hospital records of patients with SAP discharged healthy from January 2003 to December 2003 were reviewed. The Rand 36-item Health Survey with accessory question was mailed to each patient. The means and deviations for each of eight scales scores of SF-36 were calculated, the study population scores were compared with general Chinese population; Univariate analysis was applied to determining the effects of variables such as age, sex, causes of disease, mode of treatment, frequency of surgery, financial burden, length of stay, chronic complications. Accessory questions were analyzed separately.


RESULTS
The means and deviations for each of eight scales (PF, RP, RE, BP, VT, MH, SF, GH) scores of SF-36 in SAP patients were 83 +/- 15, 62 +/- 42, 69 +/- 36, 80 +/- 15, 69 +/- 19, 72 +/- 15, 75 +/- 18, 65 +/- 18, compared with general people. Except RP and SF, the others were similar. In the ANOVA of Physical Component Summary, the three variables mode of treatment, financial burden and length of stay were included (P < 0.05), while in that of Mental Component Summary, the two variables of gender and financial burden were included (P < 0.05).


CONCLUSIONS
The health-related quality of life in SAP patients is similar to that of general people. Greater attention should be given to mode of treatment, length of stay and financial burden to improve quality of life.
Luo
Dan
D
Department of Sugery, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai 200025, China.
Lei
Ruo-qing
RQ
Xu
Zhi-wei
ZW
Deng
Yang
Y
Zhu
Jian
J
Fei
Jian
J
Chen
Sheng
S
Han
Tian-quan
TQ
Jiang
Yu
Y
Tang
Yao-qing
YQ
Zhang
Sheng-dao
SD
D018806:APACHE; D000293:Adolescent; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000523:psychology / Q000628:therapy*; D011788:Quality of Life; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D017741:Survivors; D016896:Treatment Outcome