Evidence map›Paper›PMID 30595867›Full record

ArticleCurrent health sciences journal

Assessing the Degree of Severity of Acute Pancreatitis by Using Multiparameter Scores.

Elena Irina Căluianu, D O Alexandru, D Mercuț, M Georgescu, E T Trașcă, Maria Iancau

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Article in Current health sciences journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2 citing papers in PubMed.

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5 · Who and what money

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6 authors.

Elena Irina CăluianuDepartment of Physiology, University of Medicine and Pharmacy of Craiova, Romania.
D O AlexandruDepartment Medical Informatic and Biostatistic, University of Medicine and Pharmacy of Craiova, Romania.
D MercuțDepartment of Surgery, Military Emergency Hospital "Dr. Ștefan Odobleja", Craiova, Romania.
M GeorgescuDepartment III Functional Sciences Physiology, "Victor Babes" University of Medicine and Pharmacy, Timișoara.
E T TrașcăDepartment of Surgery, Military Emergency Hospital "Dr. Ștefan Odobleja", Craiova, Romania.
Maria IancauDepartment of Physiology, University of Medicine and Pharmacy of Craiova, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo establish a clinical severity diagnosis and a therapeutical strategy in acute pancreatitis (A.P.) by using multiparameter bioclinical and morphological scores. MATERIAL AND

method71 patients, diagnosed with A.P., between 2012-2016, admitted to the surgical clinics of the Military Emergency Hospital "Dr. Stefan Odobleja" and the Clinical County Emergency Hospital of Craiova, were investigated, following the severity diagnosis, both at admission and in evolution, with the aim of obtaining an optimal therapeutic approach. The Ranson, Imre, Marshall, Balthazar and EPIC scores were used.

resultsBy analyzing specially the values of the computer tomography severity index of the study group patients, 14.29% of patients were classified as light severity AP with favorable prognosis, 37.14% of patients moderate severity AP, and 48.57% severe AP. The examination of the CT, one of the most important diagnosis tests for AP, established that 34.29% of patients suffered from AP in Balthazar grade B and 22.85% Balthazar grade C, the severity forms we encountered most in our study. The correlation between HCT (hematocrit) value and Ranson score presents a Pearson correlation coefficient r of-0.339, which indicates the existence of a statistically significant inversely proportional relation.

conclusionCorroboration of the bioclinical and imagistic data, summed as multiparameter scores, allowed us to classify AP into different severity forms: moderate severity AP (14.29%), moderate-severe AP (37.14%) and severe AP (48.57%), which will then facilitate choosing the right therapeutic approach.

Indexed as

acute pancreatitisbiochemical and imagisticmultiparameter scores

Identifiers

PMID30595867
PMCPMC6284177

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