Trial reportLangenbeck's archives of surgery2025
Application of refined ICU nursing care in the treatment of severe acute pancreatitis and its impact on clinical outcomes.
Trial report in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Dexmedetomidine may alleviate severe acute pancreatitis-associated lung injury by targeting the AIM2 inflammasome in endothelial cells.BMC anesthesiology · 2026Article
- Comparative analysis of four nutritional scores in predicting hospital stay duration for EICU Patients with acute pancreatitis.Frontiers in nutrition · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveSevere acute pancreatitis (SAP) is associated with a relatively high mortality rate. Conventional intensive care unit (ICU) nursing care has limitations in symptom control and complication prevention, and the effectiveness of refined ICU nursing care still requires further empirical validation. Therefore, this study aimed to investigate the application of refined ICU nursing care in patients with SAP.
methodsThis was a prospective randomized controlled trial. Eighty-four patients with SAP admitted to the ICU of our hospital were randomly assigned to a control group or an observation group using the random number table method. The control group received conventional nursing care (monitoring vital signs, maintaining effective circulation, gastrointestinal decompression, nutritional support, and medication guidance). The observation group received refined ICU nursing care in addition to conventional care. Core measures included: (1) establishing a specialized nursing team with training and formulating individualized care plans based on patients' conditions; (2) dynamically monitoring vital signs and organ functions and strengthening complication prevention (e.g., preventing pressure ulcers and monitoring excretion); (3) providing disease education via videos and manuals; (4) offering targeted psychological support (sharing successful cases and encouraging family involvement); and (5) implementing staged dietary management (fasting with nutritional support during the acute phase, followed by gradual transition to a normal diet after symptom relief). Data were collected using the Self-Rating Anxiety Scale (SAS), the Self-Rating Depression Scale (SDS), the World Health Organization Quality of Life Assessment Scale (WHOQOL-BREF), as well as blood and urine amylase tests. Data were analyzed using GraphPad Prism 9.0. Independent-samples or paired-samples t-tests were applied for continuous variables, and the χ² test was used for categorical variables.
resultsThe nursing effectiveness rate in the observation group (97.62%) was higher than in the control group (80.95%) (P < 0.05). The observation group exhibited shorter times to symptom resolution (fever, abdominal pain, nausea, vomiting), reduced length of hospital stay, lower blood and urinary amylase levels, lower SAS and SDS scores, and higher WHOQOL-BREF scores across all dimensions (P < 0.05). The overall incidence of complications was lower in the observation group (7.14%) than in the control group (23.81%) (P < 0.05), while patient satisfaction was higher (95.24% vs. 73.81%, P < 0.05). The readmission rate did not differ significantly between the control group (7.14%, 3/42) and the observation group (11.90%, 5/42) (P = 0.713).
conclusionRefined ICU nursing care can shorten symptom resolution time and hospital stay, reduce amylase levels, alleviate negative emotions, lower complication rates, and improve patient satisfaction in SAP patients. However, as this was a single-center study with a relatively small sample size, further confirmation through multi-center, large-sample trials is warranted.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.