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The study by Pandanaboyana et al 1 showed that acute pancreatitis (AP) patients with COVID-19 had a significantly higher mortality than those without COVID-19. Nevertheless, a similar trend of mortality was found by another observational cohort study.2 The true prevalence and outcomes of AP in patients with COVID-19 are not known. The aim of this study was to conduct a meta-analysis to determine the pooled prevalence and clinical outcomes of AP in patients with COVID-19.
PubMed, Embase, Scopus and Cochrane library were searched for outcome studies of adult patients with AP and COVID-19 published before 15 September 2021 (online supplemental file 1). Excluded were studies that either did not use the revised Atlanta criteria for AP diagnosis or reported patients with COVID-19 with a prior history of pancreatitis. Patients were divided into three groups: group I—AP with COVID-19, group II—AP without COVID-19 and group III—COVID-19 without AP. The primary endpoint was mortality (both in-hospital or 30-day). Secondary endpoints were pooled prevalence of AP and other clinical outcomes. The overall pooled prevalence and mortality were assessed for group I with a random-effects model and Freeman–Tukey …
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Collaborators None.
Contributors Concept and design: FY, JW and DF; acquisition, analysis and interpretation of data: FY, YH, TL, YF, CS, YX, JW and DF; drafting of the manuscript: FY; critical revision of the manuscript: JW and DF. All authors finally approved the manuscript.
Funding The research was supported by the National Key R&D Program of China No.2017YFC1308604 (Dr Yang).
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
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