Evidence map›Paper›PMID 32487074›Full record

ArticleBMC gastroenterology2020

Evaluation of four scoring systems in prognostication of acute pancreatitis for elderly patients.

Yajie Li, Jun Zhang, Jihong Zou

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMC gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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  18. Acute peripancreatic fluid collection in acute pancreatitis: Incidence, outcome, and association with inflammatory markers.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Yajie LiGeriatrics Department, Zhongda Hospital Southeast University, No.87, Dingjiaqiao, Nanjing, China. withlove1982@163.com.ORCID http://orcid.org/0000-0003-2121-6057
Jun ZhangGeriatrics Department, Zhongda Hospital Southeast University, No.87, Dingjiaqiao, Nanjing, China.
Jihong ZouGeriatrics Department, Zhongda Hospital Southeast University, No.87, Dingjiaqiao, Nanjing, China.
Zhongda Hospital Southeast University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the ability of four scoring systems (Ranson, BISAP, Glasgow, and APACHE II) to predict outcomes of acute pancreatitis (AP) in elderly patients.

methodsThis was a retrospective study of 918 patients presenting with AP at Zhongda Hospital Southeast University, from January 2015 to December 2018. We divided patients into two groups: 368 patients who were ≥ 60 years old, and 550 patients who were < 60 years old. Four scoring systems were used to analyze all patients.

resultsThe severity of the disease, and mortality were significantly different between the two groups (p < 0.05), while the difference between the two groups about pancreatic necrosis is statistically insignificant (p = 0.399). The differences of the AUCs (Area under curves) for prediction of outcome of SAP (severe acute pancreatitis) between the two groups were statistically significant for Ranson and APACHE II (p < 0.05), but not for the differences between BISAP and Glasgow. All the four scoring systems were similar in terms of prediction of pancreatic necrosis and death in both groups.

conclusionsPrediction of severity, pancreatic necrosis, and death in AP for elderly patients can be performed very well by using BISAP. APACHE II is more suitable for younger patients when dealing with severity. Ranson and Glasgow can be used to evaluate all AP patients in most cases; however, Ranson is more effective for younger patients when used to assess severity.

Indexed as

Age FactorsSeverity of Illness IndexAcute DiseaseAdultAgedAged, 80 and overArea Under CurveFemaleGeriatric AssessmentHumansMaleMiddle AgedPancreatitisPancreatitis, Acute NecrotizingPredictive Value of TestsPrognosisAcute pancreatitisElderly patientsPredictionROC (receiver operating characteristic) curveScoring system

Identifiers

PMID32487074
PMCPMC7268671
OpenAlexW3031961308

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.