Evidence map›Paper›PMID 40211631›Full record

ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2025

Predictive factors at emergency department admission for a complicated course of acute pancreatitis.

Fatih Acehan, Ihsan Ateş, Nisbet Yilmaz

Abstract read
In one paragraph

Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Fatih AcehanDepartment of Internal Medicine, Ankara Bilkent City Hospital, Ankara-Türkiye.
Ihsan AteşDepartment of Internal Medicine, Ankara Bilkent City Hospital, Ankara-Türkiye.
Nisbet YilmazDepartment of Internal Medicine, Ankara Bilkent City Hospital, Ankara-Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute pancreatitis (AP) is a condition frequently encountered by emergency department (ED) physicians, presenting with a spectrum of severity ranging from a mild, uncomplicated form to a severe, potentially fatal one. This study aimed to identify ED admission parameters that could predict a complicated disease course in patients with AP.

methodsPatients consecutively diagnosed with AP between 2010 and 2018 were included in the study and categorized into complicated and uncomplicated AP groups based on disease progression. Various clinical and laboratory characteristics at ED admission were compared between the two groups, and independent risk factors for complicated AP were identified. Complicated AP was de-fined as the development of any of the following during hospitalization: death, severe disease, necrosis, late peripancreatic or vascular complications, and pancreatic/peripancreatic or major extrapancreatic infections.

resultsOf the 511 patients included in the study, 74 (14.5%) were classified into the complicated AP group. At ED admission, recurrent AP, alcoholic etiology, pleural effusion, systemic inflammatory response syndrome, and calcium levels were identified as independent risk factors for complicated AP. The area under the curve for the combination of these five predictors for complicated AP was 0.857 (95% confidence interval: 0.810-0.904), significantly higher than that of existing scoring systems.

conclusionUsing five simple parameters, the development of complicated AP was successfully predicted. These parameters should be considered in the development of new scoring systems to identify patients at risk for clinically severe outcomes in AP.

Indexed as

Emergency Service, HospitalPancreatitisAcute DiseaseAdultAgedDisease ProgressionFemaleHumansMaleMiddle AgedPatient AdmissionRetrospective StudiesRisk FactorsSeverity of Illness IndexSystemic Inflammatory Response Syndrome

Identifiers

PMID40211631
PMCPMC12000972

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