APACHE II PANCREATITIS AGUDA PDF

Room No. For commercial re-use, please contact journals. Methods Fifty patients with acute pancreatitis admitted to our hospital during the period of March to September were included in the study. Optimal cut-offs for these scoring systems and the area under the curve AUC were evaluated based on the receiver operating characteristics ROC curve and these scoring systems were compared prospectively. Results Of the 50 cases, 14 were graded as severe acute pancreatitis. Pancreatic necrosis was present in 15 patients, while 14 developed persistent organ failure and 14 needed intensive care unit ICU admission.

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El pionero en esta materia fue J. En , W. Comparar la eficacia del cuidado intensivo en diferentes hospitales. Evaluar el uso del recurso hospitalario. En , M. Las variables ordinales se describen por medio del valor modal. Resultados Se incluyeron en el estudio un total de 65 pacientes. La amilasemia en los tres casos superaba el doble del valor normal. Por estas razones sugerimos estudios para reajustar el valor que se le asigna a la edad.

Puntajes a las 24 horas entre 9 y 22 implican un riesgo nueve veces mayor de muerte, y a las 48 horas de 33,3 veces mayor. A su vez, puntuaciones de APACHE II igual o mayor que 9 a las 48 horas, aumenta a 33 veces la probabilidad de muerte en pacientes con pancreatitis aguda. A 24 hous, a patient with a score of 9 or above has 9 times greater probality of death as compared with patients with scores below 9.

At 48 hours, a score or 9 or above increases by 33 times the probability of death. We found no correlation between the age variable and lethality.

We believed that the age value assigned in the APACHE II is too high, and therefore we think that special studies should be conducted to consider lowering.

Referencias 1. Pellegrini, CA: The treatment of acute pancreatitis: a continuing 1. Pellegrini, Ca: Treatment of acute pancreatitis a continuing challenge. N Eng J Med ; challenge.

N Eng J Med ; 2. Rev Colomb Cir ; 4: 3. Nieto JA. Rev Colomb Cir ; 4. World J Surg ; 6. Surg Gynecol Obstet ; 7. Br J Surg ; — 41 8. Gut ; — 6 Acute pancreatitis Prognostic value of CT. Radiology ; Radiology ; — 6 Banks PA: Practice guidelines in acute pancreatitis. Am J Gastroenterol ; Foitzik T, Bassi DG, et al: Intravenous contrast medium accentuates the severity of acute necrotizing pancreatitis in the rat. Gastroenterol ; Arch Surg ; Hotz HG, Schmidt J, et al: Isovolemic hemodilution with dextran prevents contrast medium induced impairment of pancreatic microcirculation in necrotizing pancreatitis in the rat.

Am J Surg ; Ann Surg ; Kaiser AM, Grady T, Gerdes D, et al: Intravenous contrast medium does not increase the severity of acute necrotizing pancreatitis in the possum. Dig Dis Sci ; A prospective study of patients. Crit Care Med ; Larvin M, McMahon. Lancet ; 2: World J Surg ; 9: Neoptolemos JP, London NJ, et al: Controlled trial of urgent endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy versus conservative treatment for acute pancreatitis due to gallstones.

Lancet ; Correspondencia: Doctor Stevenson Marulanda Plata. Doctores: Stevenson Marulanda Plata, Prof.

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