ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2012
Audit of patients with severe acute pancreatitis admitted to an intensive care unit.
Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Metabolic syndrome components individually worsen the outcome of acute pancreatitis: a systematic review and meta-analysis.Frontiers in endocrinology · 2025Pooled it
- Ketorolac and Predicted Severe Acute Pancreatitis: A Randomized, Controlled Clinical Trial.Clinical medicine & research · 2022Trial
- Article
- Article
- Early intra-abdominal hypertension: A reliable bedside prognostic marker for severe acute pancreatitis.JGH open : an open access journal of gastroenterology and hepatology · 2020Article
- TEG in the monitoring of coagulation changes in patients with sepsis and the clinical significance.Experimental and therapeutic medicine · 2019Article
- Effect of Segmental Thoracic Epidural Block on Pancreatitisinduced Organ Dysfunction: A Preliminary Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2019Article
- How severe is moderately severe acute pancreatitis? Clinical validation of revised 2012 Atlanta Classification.World journal of gastroenterology · 2017Article
- Analysis of risk factors related to gastrointestinal fistula in patients with severe acute pancreatitis: a retrospective study of 344 cases in a single Chinese center.BMC gastroenterology · 2017Article
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Authors and funding
8 authors.
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Abstract
backgroundSevere acute pancreatitis (SAP) is a disease with high morbidity and mortality. We undertook a study of patients with SAP admitted to the intensive care unit (ICU) of a tertiary referral hospital.
methodsBetween 2002 and 2007, 50 patients with SAP were admitted in our intensive care unit (ICU). Data were collected from their medical records and their clinical profile, course and outcome were retrospectively analyzed. Patients were categorized into survivor and nonsurvivor groups, and were further classified based on interventions such as percutaneous drainage and surgical necrosectomy.
resultsSAP contributed 5 % of total ICU admissions during the study period. Median age of survivors (n = 20) was 34 against 44 years in nonsurvivors (n = 30). Median Acute Physiology and Chronic Health Evaluation (APACHE) II score in nonsurvivors was 16.5 (8-32) vs. 12.5 (5-20) in survivors (p = 0.002). Patients with APACHE II score ≥12 had mortality >80 % compared to 23 % with score <12 (p < 0.001). Median Sequential Organ Failure Assessment (SOFA) scores on admission and on days 3, 7, 14, and 21 were significantly higher in nonsurvivors compared to survivors (p < 0.05). Mean (SD) intraabdominal pressure was 23 (3.37) mmHg in nonsurvivors vs. 19.05 (2.51) in survivors (p < 0.05). Patients with renal failure had significant mortality (p < 0.001). Length of ICU stay, requirement for vasopressor, total parenteral nutrition, and the amount of blood and blood product transfusions differed significantly between patients with and without intervention.
conclusionsAPACHE II and SOFA scores and other clinical data correlated with outcome in SAP admitted to ICU.
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