The Effect of Cigarettes on Acute Pancreatitis Among Patients in Saudi Arabia | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 25, Volume 69, Issue 8, October 2017, Page 3108-3114 PDF (322.1 K) | ||||
Document Type: Original Article | ||||
DOI: 10.12816/0042862 | ||||
View on SCiNiTO | ||||
Authors | ||||
Amirah Abduallah M Alzahrani1; Hariri, Mohammad Zaki O2; Nahlah Ali Alsubhi3; Mohammed Fayez Mohammed Alshehri4; Helal Jarallah Alharthi5; Muhannad Fahad W Alsahli6; Faisal Menwer Alqurashi7; Badr Saad Dhawi Alghamdi8; Sabah Abdulrahman Khozam4; Ali Ibrahim Ali Alsalbi9; Ahmad Ibrahim M Albridi4; Albayyali, Tariq Hassan H10; Modhi Saleh Ibrahim Alburaidi11 | ||||
1King Abualziz Hospital | ||||
2Public Health Center, Makkah | ||||
3Ibn Sina National College | ||||
4King Khalid University | ||||
5University of Warmia and Mazury, Poland | ||||
6Al Imam Abdulrahman Alfaisal Hospital in Riyadh | ||||
7Umm Alqura University | ||||
8Buljurashi Psychiatric Hospital | ||||
9Taibah University | ||||
10Al-Jouf University | ||||
11Qassim University | ||||
Abstract | ||||
Background and purpose: Questions remain unclear about the association of smoking status and the development of acute pancreatitis (AP). We performed a meta-analysis of observational studies to explore this association. Materials and Methods: A computerized literature search was performed in MEDLINE and EMBASE through October 15, 2016. We also searched the reference lists of pertinent articles. We used a rand om-effects model to calculate the summary relative risks (SRRs) and their corresponding 95% confidence intervals (CIs). Results: A total of 8 observational studies (4 case control and 4 prospective cohort/nested case control studies) were identified. Compared with never smokers, the summary RR estimates were 1.49 (95% CI, 1.29-1.78) for ever smokers, 1.69 (95% CI, 1.42-2.21) for current smokers, and 1.19 (95% CI, 1.11-1.52) for former smokers. Smoking is found to be a potential risk factor for alcohol use, idiopathic factors and drugs related AP, but not for gallstone related AP, in the ever and current smokers. A dose response effect of tobacco use on the risk was ascertained: current smokers had a 40% (95% CI, 30%-50%) increased risk of AP for every additional 10 cigarettes per day. Conclusion: The current analysis suggests that smokers have an elevated risk of AP development. Further studies, however, are warranted before definitive conclusions can be drawn. | ||||
Keywords | ||||
pancreatitis; cigarettes; Smoking; Meta-Analysis | ||||
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