[Early prediction of severity in acute pancreatitis].

Y. Surco, J. Huerta Mercado, J. Pinto, A. Piscoya, R. De Los Ríos, R. Prochazka, A. Zegarra, J. Cieza Zevallos

Resultado de la investigación: Contribución a una revistaArtículoInvestigaciónrevisión exhaustiva

5 Citas (Scopus)

Resumen

To identify the score that best predicts early severity in patients with acute pancreatitis. A prospective cohort study was performed from December 2009 to December 2011. Cases of pancreatitis were classified as mild or severe based on the organ failure criteria and/or local complications according to the Atlanta Symposium. APACHE-II, BISAP and urea were calculated using data from the first 24 hours. Ranson was calculated using data from the first 48 hours. Hemoconcentratión was assessed 24 hours from admission, after adequate hydration. To assess the predictive value of the different scores the area under the curve ROC was used. 329 patients with acute pancreatitis were included: 214 women (65%) and 115 males (35%). The most common etiology was biliary 245 (74.3%). Two hundred and forty were mild cases of pancreatitis (73%) and 89 were severe (27%). The areas under the curve ROC were: APACHE-II: 0.74; BISAP: 0.78; Ranson: 0.48; urea: 0.70; hemoconcentratión: 0.73. There were 10 deaths (mortality: 3%). There were no significant differences between BISAP and APACHE-II, urea or hemoconcentration, but a significant difference existed with Ranson score. BISAP is a simple score that applied early in the emergency room identifies patients with severe pancreatitis with an efficacy similar to APACHE-II, urea and hemoconcentration, and acute pancreatitis, BISAP, severity, prognostic scoring.
Idioma originalInglés estadounidense
Páginas (desde-hasta)241-250
Número de páginas10
PublicaciónRevista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú
EstadoPublicada - 1 ene 2012

Huella dactilar

Urea
Pancreatitis
APACHE
Emergency rooms
Area Under Curve
Hydration
Hospital Emergency Service
Cohort Studies
Prospective Studies
Mortality

Citar esto

Surco, Y., Huerta Mercado, J., Pinto, J., Piscoya, A., De Los Ríos, R., Prochazka, R., ... Cieza Zevallos, J. (2012). [Early prediction of severity in acute pancreatitis]. Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú, 241-250.
Surco, Y. ; Huerta Mercado, J. ; Pinto, J. ; Piscoya, A. ; De Los Ríos, R. ; Prochazka, R. ; Zegarra, A. ; Cieza Zevallos, J. / [Early prediction of severity in acute pancreatitis]. En: Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú. 2012 ; pp. 241-250.
@article{ad6dca89bc7e4e6395bb98eb9fe0cbb0,
title = "[Early prediction of severity in acute pancreatitis].",
abstract = "To identify the score that best predicts early severity in patients with acute pancreatitis. A prospective cohort study was performed from December 2009 to December 2011. Cases of pancreatitis were classified as mild or severe based on the organ failure criteria and/or local complications according to the Atlanta Symposium. APACHE-II, BISAP and urea were calculated using data from the first 24 hours. Ranson was calculated using data from the first 48 hours. Hemoconcentrati{\'o}n was assessed 24 hours from admission, after adequate hydration. To assess the predictive value of the different scores the area under the curve ROC was used. 329 patients with acute pancreatitis were included: 214 women (65{\%}) and 115 males (35{\%}). The most common etiology was biliary 245 (74.3{\%}). Two hundred and forty were mild cases of pancreatitis (73{\%}) and 89 were severe (27{\%}). The areas under the curve ROC were: APACHE-II: 0.74; BISAP: 0.78; Ranson: 0.48; urea: 0.70; hemoconcentrati{\'o}n: 0.73. There were 10 deaths (mortality: 3{\%}). There were no significant differences between BISAP and APACHE-II, urea or hemoconcentration, but a significant difference existed with Ranson score. BISAP is a simple score that applied early in the emergency room identifies patients with severe pancreatitis with an efficacy similar to APACHE-II, urea and hemoconcentration, and acute pancreatitis, BISAP, severity, prognostic scoring.",
author = "Y. Surco and {Huerta Mercado}, J. and J. Pinto and A. Piscoya and {De Los R{\'i}os}, R. and R. Prochazka and A. Zegarra and {Cieza Zevallos}, J.",
year = "2012",
month = "1",
day = "1",
language = "American English",
pages = "241--250",
journal = "Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru",
issn = "1022-5129",
publisher = "Sociedad de Gastroenterologia del Peru",

}

Surco, Y, Huerta Mercado, J, Pinto, J, Piscoya, A, De Los Ríos, R, Prochazka, R, Zegarra, A & Cieza Zevallos, J 2012, '[Early prediction of severity in acute pancreatitis].', Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú, pp. 241-250.

[Early prediction of severity in acute pancreatitis]. / Surco, Y.; Huerta Mercado, J.; Pinto, J.; Piscoya, A.; De Los Ríos, R.; Prochazka, R.; Zegarra, A.; Cieza Zevallos, J.

En: Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú, 01.01.2012, p. 241-250.

Resultado de la investigación: Contribución a una revistaArtículoInvestigaciónrevisión exhaustiva

TY - JOUR

T1 - [Early prediction of severity in acute pancreatitis].

AU - Surco, Y.

AU - Huerta Mercado, J.

AU - Pinto, J.

AU - Piscoya, A.

AU - De Los Ríos, R.

AU - Prochazka, R.

AU - Zegarra, A.

AU - Cieza Zevallos, J.

PY - 2012/1/1

Y1 - 2012/1/1

N2 - To identify the score that best predicts early severity in patients with acute pancreatitis. A prospective cohort study was performed from December 2009 to December 2011. Cases of pancreatitis were classified as mild or severe based on the organ failure criteria and/or local complications according to the Atlanta Symposium. APACHE-II, BISAP and urea were calculated using data from the first 24 hours. Ranson was calculated using data from the first 48 hours. Hemoconcentratión was assessed 24 hours from admission, after adequate hydration. To assess the predictive value of the different scores the area under the curve ROC was used. 329 patients with acute pancreatitis were included: 214 women (65%) and 115 males (35%). The most common etiology was biliary 245 (74.3%). Two hundred and forty were mild cases of pancreatitis (73%) and 89 were severe (27%). The areas under the curve ROC were: APACHE-II: 0.74; BISAP: 0.78; Ranson: 0.48; urea: 0.70; hemoconcentratión: 0.73. There were 10 deaths (mortality: 3%). There were no significant differences between BISAP and APACHE-II, urea or hemoconcentration, but a significant difference existed with Ranson score. BISAP is a simple score that applied early in the emergency room identifies patients with severe pancreatitis with an efficacy similar to APACHE-II, urea and hemoconcentration, and acute pancreatitis, BISAP, severity, prognostic scoring.

AB - To identify the score that best predicts early severity in patients with acute pancreatitis. A prospective cohort study was performed from December 2009 to December 2011. Cases of pancreatitis were classified as mild or severe based on the organ failure criteria and/or local complications according to the Atlanta Symposium. APACHE-II, BISAP and urea were calculated using data from the first 24 hours. Ranson was calculated using data from the first 48 hours. Hemoconcentratión was assessed 24 hours from admission, after adequate hydration. To assess the predictive value of the different scores the area under the curve ROC was used. 329 patients with acute pancreatitis were included: 214 women (65%) and 115 males (35%). The most common etiology was biliary 245 (74.3%). Two hundred and forty were mild cases of pancreatitis (73%) and 89 were severe (27%). The areas under the curve ROC were: APACHE-II: 0.74; BISAP: 0.78; Ranson: 0.48; urea: 0.70; hemoconcentratión: 0.73. There were 10 deaths (mortality: 3%). There were no significant differences between BISAP and APACHE-II, urea or hemoconcentration, but a significant difference existed with Ranson score. BISAP is a simple score that applied early in the emergency room identifies patients with severe pancreatitis with an efficacy similar to APACHE-II, urea and hemoconcentration, and acute pancreatitis, BISAP, severity, prognostic scoring.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84886422105&origin=inward

UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=84886422105&origin=inward

M3 - Article

SP - 241

EP - 250

JO - Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru

JF - Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru

SN - 1022-5129

ER -