Copyright
©2007 Baishideng Publishing Group Co.
World J Gastroenterol. Jun 14, 2007; 13(22): 3090-3094
Published online Jun 14, 2007. doi: 10.3748/wjg.v13.i22.3090
Published online Jun 14, 2007. doi: 10.3748/wjg.v13.i22.3090
Table 1 Etiology and disease severity of the patients
Etiology | Disease severity | ||
Mild (n) | Svere (n) | Total (n, %) | |
Biliary | 71 | 34 | 105 (52.7) |
Idiopathic | 37 | 14 | 51 (25.6) |
Alcohol | 14 | - | 14 (7) |
Hyperlipidemia | 4 | 5 | 9 (4.5) |
Miscellaneous | 10 | 10 | 20 (10) |
Drug | 7 | ||
Infection | 5 | ||
Trauma | 5 | ||
Hypercalcemia | 2 | ||
Others | 1 |
Table 2 Relations between clinical, radiological and laboratory findings and disease severity
Parameters | MAP | SAP | P |
RR > 20 | 21.7% | 48.1% | < 0.001 |
PR > 90 | 36% | 65% | < 0.001 |
Necrosis ratio in CT > 30% | 4.1% | 27.1% | < 0.001 |
CRP (mg/L) | 116 ± 8 | 171 ± 15 | < 0.002 |
LDH (U/L) | 570 ± 31 | 959 ± 104 | < 0.05 |
AST (U/L) × N | 4.7 ± 1. 3 | 4.75 ± 0. 7 | < 0.05 |
Leukocytosis (× 103/mm3) | 13 ± 0.4 | 16 ± 0.7 | < 0.05 |
Table 3 Disease severity and CECT findings in 172 radiologi-cally examined patients n (%)
CECT findings | Disease severity | |
MAP | SAP | |
Normal (non-diagnostic) | 20 (16.4) | 3 (6.3) |
Edema in pancreas | 62 (50.8) | 18(37.50 |
Pancreatic necrosis < 30% | 33 (27) | 14 (27.1) |
30% < Pancreatic necrosis > 50% | 5 (4.1) | 13 (27.1)b |
Pancreatic necrosis > 50% | 2(1.6) | 0 |
Table 4 Factors related to morbidity and mortality
Factors | Morbidity | Mortality | ||||
Cut-off level | Positive LR | AUC | Cut-off level | Positive LR | AUC | |
APACHE-II | 8.5 | 5 | 0.72 | 8.5 | 5 | 0.88 |
BE | -5 | 3.36 | 0.69 | -5 | 4.63 | 0.84 |
CT-INDEX | 2 | 2.04 | 0.67 | 3 | 4.3 | 0.68 |
BUN (mg/dL) | 22 | 2.23 | 0.70 | 23 | 2.85 | 0.70 |
CRP (mg/L) | 142 | 2.03 | 0.72 | 160 | 2.03 | 0.82 |
LDH (U/L) | 667 | 4.07 | 0.82 | 667 | 2.79 | 0.82 |
- Citation: Kaya E, Dervişoğlu A, Polat C. Evaluation of diagnostic findings and scoring systems in outcome prediction in acute pancreatitis. World J Gastroenterol 2007; 13(22): 3090-3094
- URL: https://www.wjgnet.com/1007-9327/full/v13/i22/3090.htm
- DOI: https://dx.doi.org/10.3748/wjg.v13.i22.3090