Contreras AA

Language: Spanish
References: 10
Page: 344-347
PDF size: 231.97 Kb.

ABSTRACT

Introduction: the Tokyo 2018 guidelines (TG18) and the Parkland Grading Scale (PGS) are valuable tools for evaluating the severity of acute cholecystitis in patients. They are a classification system that indicates the severity of the disease based on signs, symptoms, laboratory studies, imaging, and diagnostic laparoscopy. Although both systems have proven useful in clinical decision-making, their relationship with each other has not been studied in patients with and without acute cholecystitis. Objective: evaluate the relationship between TG18 cholecystitis classification and PGS in patients with and without acute cholecystitis. Material and methods: a retrospective, cross-sectional study was carried out that included 100 postoperative laparoscopic cholecystectomy patients. The diagnosis of acute and non-acute cholecystitis was documented with the TG18 guidelines in the admission note and the PGS in the postoperative note of the clinical record. Results: a positive relationship was identified between non-exacerbated chronic cholecystitis and acute cholecystitis with PGS (p = 0.001) and a negative relationship between acute cholecystitis and PGS (p = 0.106). Conclusion: the severity of PGS is related to the acute or non-acute condition of cholecystitis.

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