RESUMEN
OBJECTIVE: To analyze the effectiveness of the Marshall scoring system to evaluate the severity of acute pancreatitis (AP). METHODS: We performed a prospective, observational study in 39 patients with AP evaluated by the Marshall scoring system and the Ranson criteria (admission and 48 hours). We assessed the progression of the disease for seven days and compared the data of the two criteria. RESULTS: Seven patients died during the observation period and one died afterwards. All deaths had shown failure of at least one system by the Marshall method. CONCLUSION: The Marshall scoring system may be used as an effective and simplified application method to assess the severity of acute pancreatitis.
Asunto(s)
Pancreatitis/diagnóstico , Enfermedad Aguda , Humanos , Estudios Prospectivos , Índice de Severidad de la EnfermedadRESUMEN
Objective: To analyze the effectiveness of the Marshall scoring system to evaluate the severity of acute pancreatitis (AP). Methods : We performed a prospective, observational study in 39 patients with AP evaluated by the Marshall scoring system and the Ranson criteria (admission and 48 hours). We assessed the progression of the disease for seven days and compared the data of the two criteria. Results : Seven patients died during the observation period and one died afterwards. All deaths had shown failure of at least one system by the Marshall method. Conclusion : The Marshall scoring system may be used as an effective and simplified application method to assess the severity of acute pancreatitis.
Objetivo: analisar a eficácia do sistema de pontuação de Marshall na avaliação da gravidade da pancreatite aguda. Métodos: foi realizado um estudo prospectivo e observacional em 39 pacientes com PA, avaliados pelo sistema de pontuação dos critérios de Marshall e Ranson (admissão e 48 horas). Foi avaliada a evolução do quadro clínico durante sete dias e comparados os dados dos dois critérios. Resultados: sete pacientes morreram durante o período de observação e um morreu após esse período. Todos os óbitos possuíam, pelo sistema de Marshall, falência de pelo menos um sistema. Conclusão: concluímos que o sistema de pontuação de Marshall pode ser utilizado, por ser um método eficaz e de aplicação simplificada, para avaliar a gravidade da pancreatite aguda.
