2016, Volume 9, Issue 4, pp 413 – 418

Mortality prognostic factors in acute pancreatitis

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Authors and Affiliations

Correspondence to: Dumitru Cristine lBadiu, MD, PhD, Department of Surgery, General Surgery Clinic, “Bagdasar-Arseni” Clinical Emergency Hospital, Bucharest, 12 Berceni Road, Code 041915, Bucharest, Romania, Mobile phone: +40723 226 346, E-mail: doctorcristianbadiu@yahoo.com

Abstract

Background: The aim of the study was to present the biological prognostic factors of mortality in patients with acute pancreatitis.

Methods: Several usual laboratory values were monitored: glucose, urea, partial pressure of oxygen, WBC count, hemoglobin, total bilirubin, and cholesterol. A statistical analysis was performed by using ROC curves and AUC interpretation.

Results: The overall mortality rate was 21.1% and was different depending on the severity of the disease. Only 2.22% of the patients with a mild disease died, as opposed to 45.63% of the patients with a severe form. All the analyses studied were significantly elevated in the deceased patients. A close correlation between blood glucose, urea, partial pressure of oxygen, WBC, hemoglobin, total bilirubin, and cholesterol and mortality was objectified by measuring the AUC, which was of 97.1%, 95.5%, 93.4%, 92.7%, 87.4%, 82.2%, and 79.0%.

Conclusions: The usual, easy to use, fast, and cheap tests were useful in predicting mortality in patients with acute pancreatitis. Our study confirmed that the combination of several factors led to an accurate mortality prediction.

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About this article

PMC ID: 5141403
PubMed ID: 27928447
DOI: 

Article Publishing Date (print): Oct-Dec 2016
Available Online: 

Journal information

ISSN Printing: 1844-122X
ISSN Online: 1844-3117
Journal Title: Journal of Medicine and Life

Copyright License: Open Access

This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use and redistribution provided that the original author and source are credited.


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