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2012, Number 3

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Mul Med 2012; 16 (3)

Factors that influence in the evolution of patients with acute pancreatitis

Ojeda OMJ, González AJC, Frómeta GA, Palacio OL
Full text How to cite this article

Language: Spanish
References: 9
Page:
PDF size: 149.40 Kb.


Key words:

pancreatitis/diagnosis, pancreatitis/mortality.

ABSTRACT

A longitudinal cohort study was performed in patients with the diagnosis of acute pancreatitis in the Emergency Service of General Surgery at "Carlos Manuel de Céspedes University General Hospital in Bayamo", Granma, in the period from January 1rst, 2005 to December 31rst, 2010, with the objective of identifying and quantifying the influence of various clinical and imagenological factors in the evolution of patients with acute pancreatitis. There were included 198 patients with this diagnosis. As independent variables there were taken the hypothetical prognosis factors obtained in emergencies, and as a response variable, death during hospitalization. The influence of the age was found in the univariate analysis of quantitative variables (RR 1.6; 95% CI 1, 06-2, 42), the figures of glucose (RR 1.57 IC 1, 09-2, 26) and the time of evolution (RR 2.3; 95% CI 1, 00-5, 34) in the development of the death. Among the qualitative variables it prevailed the severe clinical form of acute pancreatitis (95% CI 2.4 RR 1, 5-3, 9). In the multivariate logistic regression model there were included as independent variables associated with the prognosis, the age, the clinical form and blood glucose numbers.


REFERENCES

  1. Anderson R, Sward AQ, Tingstedt B, Akerberg D. Treatment of acute pancreatitis. Focus on medical care. Drugs. 2009; 69(5): 505-14.

  2. Wang GJ, Gao CF, Wei D, Wang C, Ding SQ. Acute Pancreatitis. Etiology and common pathogenesis. World J Gastroenterol. 2009; 15 (12): 1427 – 30.

  3. Swarrop Vege S, Gardner T B, Chari ST; Munukiti P, Pearson RK, Clain J E. Low mortality and high morbidity in severe acute pancreatitis without organ failure: a case for revising the Atlanta Classification to include “ Moderately Severe Acute Pancreatitis”. Am J Gastroenterol. 2009; 104: 710-15.

  4. Vincent JL, Ferreira F, Moreno R. Scoring systems for assessing organ dysfunction and survival. Crit Care Med. 1998; 16 (2):353- 66.

  5. Balthazar E, Robinson D, Megibow A. Acute pancreatitis: value of CT in establishing prognosis. Radiology.1990; 174:331-36.

  6. Lujano LA, Pérez JL, Durán EG, Serralde AE. Correlación entre criterios clínicos, bioquímicos y tomográficos para evaluar la gravedad de la pancreatitis aguda. Rev Esp Enferm Dig. 2010; 102 (6):376-80.

  7. Lankisch PG. Treatment of Acute pancreatitis: an attempted historical review. Pancreatology. 2010; 10: 134 – 41.

  8. Banks P A y Freeman M L. The Practice Parameters Committee of the American College of Gastroenterology. Am J Gastroenterol. 2006; 101: 2379 – 2400.

  9. De Campos T, Cequeira C, Kuryura L, Pereira JG, Solda S, Perlinguero JAG et al. Morbimortality indicators in severe acute pancreatitis. J Pancreas. 2008; 9 (6): 690 – 7.




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Mul Med. 2012;16