Serum Lactate Dehydrogenase Is a Sensitive Predictor of Systemic Complications of Acute Pancreatitis
Table 2
Comparison of AP severity scores and complications between AP patients with elevated or normal LDH.
Normal LDH ()
Elevated LDH ()
-value
Severity
SIRS (%)
31 (21.68)
46 (49.46)
<0.001
Ranson
1.00 (1.00–2.00)
2.00 (2.00–3.00)
<0.001
MODS
0.00 (0.00–2.00)
2.00 (1.00–4.00)
<0.001
BISAP
1.00 (0.00–2.00)
2.00 (1.00–3.00)
<0.001
APACHE II
7.00 (4.00–10.00)
10.00 (6.00–13.00)
<0.001
CTSI
2.00 (2.00–4.00)
4.00 (2.00–6.00)
0.009
Complications
Pleural effusion (%)
51 (35.66)
51 (54.84)
0.004
Ascitic fluid (%)
18 (12.59)
32 (34.41)
<0.001
Myocardial infarction (%)
0 (0.00)
7 (7.53)
0.003
Pancreatic fluid collection (%)
27 (20.61) ()
26 (31.71) ()
0.068
Pancreatic necrosis (%)
11 (8.40) ()
15 (18.29) ()
0.032
AKI (%)
8 (5.59)
19 (20.43)
<0.001
Acute respiratory failure (%)
6 (4.20)
8 (8.60)
0.161
Acute heart failure (%)
7 (4.90)
8 (8.60)
0.254
Data are presented as n (%) or median (interquartile range). AKI, acute kidney injury; AP, acute pancreatitis; APACHE, acute physiologic assessment and chronic health evaluation; BISAP, bedside index for severity in acute pancreatitis; CTSI, computed tomography severity index; LDH, lactate dehydrogenase; MODS, multiple organ dysfunction syndrome; SIRS, systemic inflammatory response syndrome.
