Affiliation:
1. Klinika Chorób Wewnętrznych, Instytut Medycyny Uniwersytetu Opolskiego i Uniwersytecki Szpital Kliniczny, Opole
2. Klinika Chorób Wewnętrznych i Nefrologii w Opolu
Abstract
This study includes an analysis of acute pancreatitis (AP) prognostic factors was performed as well as a critical review of the most important AP prognostic scales (APACHE II, Ranson, BISAP, SOFA, Marshall). The limitations of each scale were described. Simultaneously, the clinical applicability in the early prognostic AP stratification was presented, along with the clinical value of the alcoholic and gallstones etiology in the differential diagnosis. Pre-existing type 2 diabetes and chronic kidney disease significantly worsen the course of AP and should be included in the prognostic scale. It was shown that the diabetes coexisting with a HBA1C level above 6.5% significantly increases the mortality of AP patients and prolongs the period of hospitalization for 5 days. It was also observed that chronic kidney disease significantly increases the frequency of infective AP complications and raises 3-months mortality.
Subject
Infectious Diseases,Microbiology (medical)
Reference41 articles.
1. Banks P.A., Bollen T.L., Dervenis C., Gooszen H.G., Johnson C.D.,Sarr M.G., Tsiotos G.G., Vege S.S., Acute Pancreatitis ClassificationWorking Group: Classification of acute pancreatitis – 2012: revisionof the Atlanta classification and definitions by international consensus.Gut, 2013; 62: 102–111
2. Chouhan V., Monachese M., Saleh M.A., Richardson A., Lee P.,Lopez R., Chak A., Glessing B., Stevens T.: Baseline chronic kidneydisease is a risk factor for severity and mortality in acute pancreatitis:a multicenter study. Gastroenterology, 2018; 154 (Suppl. 1): 288
3. Crockett S.D., Wani S., Gardner T.B., Falck-Ytter Y., Barkun A.: AmericanGastroenterological Association Institute Guideline on Initial Managementof Acute Pancreatitis. Gastroenterology, 2018; 154: 1096–1101
4. Di M.Y., Liu H., Yang Z.Y., Bonis P.A., Tang J.L., Lau J.: Predictionmodels of mortality in acute pancreatitis in adults. A systematicreview. Ann. Intern. Med., 2016; 165: 482–491
5. Fisher J.M., Gardner T.B.: The „Golden Hours” of managementin acute pancreatitis. Am. J. Gastroenterol., 2012; 107: 1146–1150