Association between acute pancreatitis severity and ABO/Rh blood group

Medicine (Baltimore). 2024 Nov 29;103(48):e40789. doi: 10.1097/MD.0000000000040789.

Abstract

Acute pancreatitis (AP) is an inflammatory disorder associated with a significant mortality rate in its severe form. This study aimed to evaluate the association between severity of AP and ABO/Rh blood type. Retrospective chart review was conducted on hospitalized patients who met the diagnostic criteria for AP. Data collected included patient demographics, ABO/Rh blood type, etiology of pancreatitis, severity based on the Atlanta classification, and hospital length of stay. The proportion of patients who experienced severe AP was compared amongst combinations of ABO/Rh blood group. Of the 358 patients included in the study, 20.9% had non-mild AP. The proportion of patients in each blood group with non-mild AP was as follows: A: 21.1%, B: 21.4%, AB: 5.9%, O: 30.9%, Rh+: 22.0%, Rh-: 14.8%. When comparing across A, B, AB, O and Rh groups separately and in combination, there was no statistically significant correlation found between AP severity and ABO/Rh blood type. In this retrospective cohort study, no significant association between ABO/Rh blood group and severity of AP was found, suggesting that the inflammatory cascade in AP is not directly influenced by blood groups.

Publication types

  • Observational Study

MeSH terms

  • ABO Blood-Group System* / analysis
  • Acute Disease
  • Adult
  • Aged
  • Female
  • Humans
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Pancreatitis* / blood
  • Pancreatitis* / diagnosis
  • Retrospective Studies
  • Rh-Hr Blood-Group System* / blood
  • Severity of Illness Index

Substances

  • ABO Blood-Group System
  • Rh-Hr Blood-Group System