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Assessing the Degree of Severity of Acute Pancreatitis by Using Multiparameter Scores
Aim: To establish a clinical severity diagnosis and a therapeutical strategy in acute pancreatitis (A.P.) by using multiparameter bioclinical and morphological scores. Material and Method: 71 patients, diagnosed with A.P., between 2012-2016, admitted to the surgical clinics of the Military Emergency...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medical University Publishing House Craiova
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284177/ https://www.ncbi.nlm.nih.gov/pubmed/30595867 http://dx.doi.org/10.12865/CHSJ.43.02.04 |
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author | CĂLUIANU, ELENA IRINA ALEXANDRU, D.O. MERCUȚ, D. GEORGESCU, M. TRAȘCĂ, E.T. IANCAU, MARIA |
author_facet | CĂLUIANU, ELENA IRINA ALEXANDRU, D.O. MERCUȚ, D. GEORGESCU, M. TRAȘCĂ, E.T. IANCAU, MARIA |
author_sort | CĂLUIANU, ELENA IRINA |
collection | PubMed |
description | Aim: To establish a clinical severity diagnosis and a therapeutical strategy in acute pancreatitis (A.P.) by using multiparameter bioclinical and morphological scores. Material and Method: 71 patients, diagnosed with A.P., between 2012-2016, admitted to the surgical clinics of the Military Emergency Hospital “Dr. Stefan Odobleja” and the Clinical County Emergency Hospital of Craiova, were investigated, following the severity diagnosis, both at admission and in evolution, with the aim of obtaining an optimal therapeutic approach. The Ranson, Imre, Marshall, Balthazar and EPIC scores were used. Results: By analyzing specially the values of the computer tomography severity index of the study group patients, 14.29% of patients were classified as light severity AP with favorable prognosis, 37.14% of patients moderate severity AP, and 48.57% severe AP. The examination of the CT, one of the most important diagnosis tests for AP, established that 34.29% of patients suffered from AP in Balthazar grade B and 22.85% Balthazar grade C, the severity forms we encountered most in our study. The correlation between HCT (hematocrit) value and Ranson score presents a Pearson correlation coefficient r of-0.339, which indicates the existence of a statistically significant inversely proportional relation. Conclusion: Corroboration of the bioclinical and imagistic data, summed as multiparameter scores, allowed us to classify AP into different severity forms: moderate severity AP (14.29%), moderate-severe AP (37.14%) and severe AP (48.57%), which will then facilitate choosing the right therapeutic approach. |
format | Online Article Text |
id | pubmed-6284177 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medical University Publishing House Craiova |
record_format | MEDLINE/PubMed |
spelling | pubmed-62841772018-12-28 Assessing the Degree of Severity of Acute Pancreatitis by Using Multiparameter Scores CĂLUIANU, ELENA IRINA ALEXANDRU, D.O. MERCUȚ, D. GEORGESCU, M. TRAȘCĂ, E.T. IANCAU, MARIA Curr Health Sci J Original Paper Aim: To establish a clinical severity diagnosis and a therapeutical strategy in acute pancreatitis (A.P.) by using multiparameter bioclinical and morphological scores. Material and Method: 71 patients, diagnosed with A.P., between 2012-2016, admitted to the surgical clinics of the Military Emergency Hospital “Dr. Stefan Odobleja” and the Clinical County Emergency Hospital of Craiova, were investigated, following the severity diagnosis, both at admission and in evolution, with the aim of obtaining an optimal therapeutic approach. The Ranson, Imre, Marshall, Balthazar and EPIC scores were used. Results: By analyzing specially the values of the computer tomography severity index of the study group patients, 14.29% of patients were classified as light severity AP with favorable prognosis, 37.14% of patients moderate severity AP, and 48.57% severe AP. The examination of the CT, one of the most important diagnosis tests for AP, established that 34.29% of patients suffered from AP in Balthazar grade B and 22.85% Balthazar grade C, the severity forms we encountered most in our study. The correlation between HCT (hematocrit) value and Ranson score presents a Pearson correlation coefficient r of-0.339, which indicates the existence of a statistically significant inversely proportional relation. Conclusion: Corroboration of the bioclinical and imagistic data, summed as multiparameter scores, allowed us to classify AP into different severity forms: moderate severity AP (14.29%), moderate-severe AP (37.14%) and severe AP (48.57%), which will then facilitate choosing the right therapeutic approach. Medical University Publishing House Craiova 2017 2017-06-29 /pmc/articles/PMC6284177/ /pubmed/30595867 http://dx.doi.org/10.12865/CHSJ.43.02.04 Text en Copyright © 2017, Medical University Publishing House Craiova http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an open-access article distributed under the terms of a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Public License, which permits unrestricted use, adaptation, distribution and reproduction in any medium, non-commercially, provided the new creations are licensed under identical terms as the original work and the original work is properly cited. |
spellingShingle | Original Paper CĂLUIANU, ELENA IRINA ALEXANDRU, D.O. MERCUȚ, D. GEORGESCU, M. TRAȘCĂ, E.T. IANCAU, MARIA Assessing the Degree of Severity of Acute Pancreatitis by Using Multiparameter Scores |
title | Assessing the Degree of Severity of Acute Pancreatitis by Using Multiparameter Scores |
title_full | Assessing the Degree of Severity of Acute Pancreatitis by Using Multiparameter Scores |
title_fullStr | Assessing the Degree of Severity of Acute Pancreatitis by Using Multiparameter Scores |
title_full_unstemmed | Assessing the Degree of Severity of Acute Pancreatitis by Using Multiparameter Scores |
title_short | Assessing the Degree of Severity of Acute Pancreatitis by Using Multiparameter Scores |
title_sort | assessing the degree of severity of acute pancreatitis by using multiparameter scores |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284177/ https://www.ncbi.nlm.nih.gov/pubmed/30595867 http://dx.doi.org/10.12865/CHSJ.43.02.04 |
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