[The role of four criteria in assessment of the severity and prognosis of hyperlipidemic acute pancreatitis].
Zhonghua Nei Ke Za Zhi
; 55(9): 695-9, 2016 Sep 01.
Article
em Zh
| MEDLINE
| ID: mdl-27586977
ABSTRACT
OBJECTIVE:
To explore the four criteria, including bedside index for severity in acute pancreatitis(BISAP), Ranson score, modified CT severity index(MCTSI) and acute physiology and chronic health evaluation scoring systemâ ¡(APACHE â ¡) in assessment of severity and prognosis of hyperlipidemic acute pancreatitis.METHODS:
A total of 326 patients with hyperlipidemic acute pancreatitis were studied retrospectively from August 2006 to July 2015. The discrepancy of the four criteria in assessment of severity and prognosis of hyperlipidemic acute pancreatitis was compared with chi-square test and receiver operating characteristic curve.RESULTS:
The incidences of moderately severe acute pancreatitis and severe acute pancreatitis, local complications and mortality of patients with BISAP score≥3, Ranson score≥3, APACHE â ¡ score≥8 and MCTSI score≥4 were significantly higher than BISAP score<3, Ranson score<3, APACHE â ¡score<8 and MCTSI<4 respectively (all P<0.05). As far as severity was concerned, the sensitivity and AUC of APACHEâ ¡ were 57% and 0.814, which were higher than the other systems. The second most sensitive criterion was BISAP. In assessment of local complications, the sensitivity and AUC of MCTSI were 68% and 0.791, which were higher than the other three. The most sensitive criterion to predict mortality was BISAP with sensitivity 89% and AUC 0.867, which was followed by APACHE â ¡.CONCLUSIONS:
All four criteria can be used to determine the severity, local complications and mortality. Generally, BISAP is simple and easy to practice, and better than the other three.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pancreatite
/
Hiperlipidemias
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
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Male
/
Middle aged
Idioma:
Zh
Revista:
Zhonghua Nei Ke Za Zhi
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
China