Your browser doesn't support javascript.
loading
Evaluation of 880 patients diagnosed with acute pancreatitis according to the Revised Atlanta Classification: A single-center experience
Binicier, Omer Burcak; Binicier, Hatice Cilem.
  • Binicier, Omer Burcak; Research Hospital. Department of Gastroenterology, Tepecik Education. Izmir. TR
  • Binicier, Hatice Cilem; Dokuz Eylul University. Faculty of Medicine. Department of Gastroenterology. Izmir. TR
Rev Assoc Med Bras (1992) ; 66(5): 643-648, 2020. tab, graf
Article in English | SES-SP, LILACS | ID: biblio-1136255
ABSTRACT
SUMMARY OBJECTIVE The Revised Atlanta Classification (RAC) is increasingly used in the evaluation of patients diagnosed with acute pancreatitis (AP). In our study, we aimed to evaluate the etiology, disease severity, and mortality rates of patients diagnosed with AP in our center in the previous 6 years. METHODS Patients diagnosed with AP between 2013 and 2018 were evaluated. AP etiology, demographic data, disease severity, and mortality rates according to the RAC were evaluated. RESULTS A total of 880 patients were included in the study. Five hundred and eighteen (59%) patients were female and 362 (41%) were male. Regarding the etiology, 474 (53.9%) patients had biliary AP (BAP), 71 (8.1%) had hyperlipidemic AP (HAP), and 44 (5%) had alcoholic AP (AAP). According to the RAC, 561 (63.7%) patients were considered to be in the mild AP group (MAP), 268 (30.5%) in the moderately severe AP (MSAP), and 51 (5.8%) in the severe AP (SAP). The mortality rate was 4.8% in the MSAP group and 49% in the SAP group. Mortality was 2.3 times in patients over 65 years old and 3.7 times higher in patients with ischemic heart disease. CONCLUSIONS In our country, BAP is still the main etiology of acute pancreatitis. Over the years, we have seen a decrease in BAP and idiopathic AP cases, while there was an increase in HAP cases due to factors such as lifestyle changes and fatty nutrition. We found that mortality was associated with disease severity, advanced age (> 65 y), hypertension, and ischemic heart disease regardless of the etiology.
RESUMO
RESUMO OBJETIVO A Classificação de Atlanta revisada (RAC) é cada vez mais usada na avaliação de pacientes diagnosticados com pancreatite aguda (PA). Em nosso estudo, objetivamos avaliar a etiologia, a gravidade da doença e as taxas de mortalidade de pacientes diagnosticados com PA em nosso centro nos últimos seis anos. MÉTODOS Foram avaliados pacientes diagnosticados com PA entre 2013 e 2018. Avaliaram-se a etiologia da PA, os dados demográficos, a gravidade da doença e as taxas de mortalidade de acordo com a RAC. RESULTADOS Um total de 880 pacientes foi incluído no estudo. Quinhentos e dezoito (59%) pacientes eram do sexo feminino e 362 (41%) do sexo masculino. Na etiologia, 474 (53,9%) pacientes apresentaram PA biliar (PAB), 71 (8,1%) PA hiperlipidêmica (PAH) e 44 (5%) PA alcoólica (PAA). De acordo com a RAC, 561 (63,7%) pacientes estavam em PA leve (MAP), 268 (30,5%) estavam em PA moderadamente grave (MSAP) e 51 (5,8%) estavam em grupos de PA grave (SAP). A taxa de mortalidade foi de 4,8% no grupo MSAP e de 49% no grupo SAP. A mortalidade foi vista como 2,3 vezes em pacientes acima de 65 anos e 3,7 vezes em pacientes com cardiopatia isquêmica. CONCLUSÕES Em nosso país, o PAB ainda é a principal etiologia da pancreatite aguda. Ao longo dos anos, observamos uma diminuição nos casos de PAB e PA idiopática, enquanto houve um aumento nos casos de PAH devido a fatores como mudança de estilo de vida e nutrição gordurosa. Descobrimos que a mortalidade estava associada à gravidade da doença, idade avançada (>65 anos), hipertensão e cardiopatia isquêmica, independentemente da etiologia.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Severity of Illness Index Type of study: Diagnostic study Limits: Aged / Female / Humans / Male Language: English Journal: Rev Assoc Med Bras (1992) Year: 2020 Type: Article Institution/Affiliation country: Dokuz Eylul University/TR / Research Hospital/TR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Severity of Illness Index Type of study: Diagnostic study Limits: Aged / Female / Humans / Male Language: English Journal: Rev Assoc Med Bras (1992) Year: 2020 Type: Article Institution/Affiliation country: Dokuz Eylul University/TR / Research Hospital/TR