Evaluation and Early Diagnosis of Gastrointestinal Failure in Acute Pancreatitis / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
; (6): 47-54, 2020.
Article
en Zh
| WPRIM
| ID: wpr-793065
Biblioteca responsable:
WPRO
ABSTRACT
To investigate the application of Acute Gastrointestinal Injury(AGI) grading in evaluating gastrointestinal failure in patients with acute pancreatitis(AP). In this retrospective observational study,patients presented with moderate severe AP and severe AP in our hospital from October 2013 to October 2016 were consecutively enrolled.Logistic regression analysis and receiver operating characteristic curve were used to explore and evaluate potential predictors of gastrointestinal failure. A total of 202 patients were included in this study,with 90 cases(44.6%) identified as gastrointestinal failure.Survival curve showed significantly increased risk of death in patients with gastrointestinal failure( < 0.05).Logistic regression analysis showed age(=1.06,95%1.03-1.09,<0.001),complaint of stopping flatus and defecation(=7.02,95%2.08-23.66,=0.002),increased counts of white blood cells in peripheral blood(=1.09,95%1.02-1.17,=0.015),decreased level of serum albumin(=0.93,95%0.86-1.00,=0.048),and increased level of serum creatinine at admission(=1.02,95%1.01-1.04,=0.001) were the independent risk factors of gastrointestinal failure.The area under curves of Acute Physiology and Chronic Health Evaluation Ⅱ (APACHE Ⅱ) and Beside Index for Severity in Acute Pancreatitis (BISAP) scores in diagnosing gastrointestinal failure were 0.999 and 0.782,respectively. Gastrointestinal failure can remarkably increase the risk of death in patients with AP.Both APACHE Ⅱ and BISAP scores at admission are useful in diagnosing gastrointestinal failure in patients with AP.
Texto completo:
1
Base de datos:
WPRIM
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
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Screening_studies
Idioma:
Zh
Revista:
Acta Academiae Medicinae Sinicae
Año:
2020
Tipo del documento:
Article