Díaz MRE, González AJC, Guerra FA, Cabrera LJO, Martí GGM, Algas HLA

Language: Spanish
References: 0
Page: 542-558
PDF size: 152.07 Kb.

ABSTRACT

A descriptive, cross-sectional and prospective study was developed with the objective of characterizing patients with acute pancreatitis from an epidemiological and clinical point of view in the Intensive Care Unit at the general university hospital Carlos Manuel de Cespedes, Bayamo municipality, Granma province, Cuba, from February 1, 2015 to September 30, 2017. Forty-two patients who met the criteria for diagnosis of the disease were included. Acute pancreatitis accounted for 2.9 % from all admissions and predominated in the age group of 46 to 60 years (33.3 %); 54.8 % of the patients were female; and the black/half-breed race (69.0 %), the smoking habit (33.3 %) and obesity (28.5 %) were identified as the most important predisposing factors; 71.4 % of patients had biliary causes and 52.4 % had mild acute pancreatitis; the most frequent morphological profile was pancreatic necrosis (50.0 %). Transient organ failure occurred in 26.2 % of patients and persistent failure in 21.4 %. The mortality was 16.7 %. Of the patients who presented a severe form of acute pancreatitis, 77.8 % died; in those with organ failure, death occurred in 35.0 % and in 33.0 % of those who developed pancreatic necrosis; 100 % of the deceased had a severe form of the disease, organ failure and pancreatic necrosis.