Hemodynamics, fluids & transfusion

Normal saline versus Ringer’s solution and critical-illness mortality in acute pancreatitis: a nationwide inpatient database study

J Intensive CarePublished Retrospective cohort study

Main finding · In-hospital mortalityResult — go to the resultRisk difference 4.3% 95% CI 0.3%–8.3%

Authors' conclusion

In patients admitted to ICU or HDU with AP receiving adequate fluid resuscitation, RS can be a preferred infusion treatment compared to NS.

Study context

Population
Adults hospitalized in intensive care units (ICU) or HDU for acute pancreatitis (AP) who survived at least 3 days and received sufficient fluid resuscitation within 3 days of admission; Japanese Diagnosis Procedure Combination database, July 2010–March 2021
Participants
8,710 adults · 578 matched pairs
Exposure
Normal saline vs Ringer's solution
  • Normal saline (NS)n = 657
  • Ringer's solution (RS)n = 8,053reference
Outcome
In-hospital mortality
Methodological detailspropensity-score matched, nationwide inpatient database
  • Propensity-score matched
  • Nationwide inpatient database

Main finding

As reported in the abstract

Risk difference

4.3%

95% CI 0.3%–8.3%

Events by group

NS vs RS
risk difference 4.3% (95% CI 0.3%–8.3%)

Observational data: associations, not effects.

Original publication

Normal saline versus Ringer’s solution and critical-illness mortality in acute pancreatitis: a nationwide inpatient database study. J Intensive Care. Published 15 July 2024. doi:10.1186/s40560-024-00738-y

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