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Conference Paper: Is it possible to predict the outcome of acute pancreatitis?

TitleIs it possible to predict the outcome of acute pancreatitis?
Authors
Issue Date1991
Citation
Surgical Research Communications, 1991, v. 10 n. 3, p. 151-157 How to Cite?
AbstractDuring a 4.5 year period 318 patients presenting to the Department of Surgery, Queen Mary Hospital, University of Hong Kong have been scored using four disease severity systems. Two scores were calculated; on admission clinical and laboratory data and 48 hours later using the APACHE II, Stevens sepsis score (SSS). Mannheim peritonitis index (MPI) and Elebute and Stoner (MRC) system. Scores of the patients who died or who suffered systemic complications were statistically significantly higher than in those who had a uncomplicated recovery using all four systems. The 48 hour data showed the larger differences. Accuracy, sensitivity and specificity for deaths were between 60-100% using cut off points suggested by the originators of the scoring systems. Again 48 hour data tended to be more accurate and the APACHE II system was the most useful overall. Similar results were found in prediction of complications but sensitivity was unreliable. As in other scoring systems which use clinical or laboratory derived parameters, these four disease severity systems can identify patients who are at risk. Patients who need intensive resuscitation and treatment can be selected early but with no greater accuracy than by using systems specifically designed for acute pancreatitis.
Persistent Identifierhttp://hdl.handle.net/10722/173551
ISSN
2001 SCImago Journal Rankings: 0.100

 

DC FieldValueLanguage
dc.contributor.authorAlHadeedi, Sen_US
dc.contributor.authorFan, STen_US
dc.contributor.authorLeaper, DJen_US
dc.date.accessioned2012-10-30T06:32:55Z-
dc.date.available2012-10-30T06:32:55Z-
dc.date.issued1991en_US
dc.identifier.citationSurgical Research Communications, 1991, v. 10 n. 3, p. 151-157en_US
dc.identifier.issn0882-9233en_US
dc.identifier.urihttp://hdl.handle.net/10722/173551-
dc.description.abstractDuring a 4.5 year period 318 patients presenting to the Department of Surgery, Queen Mary Hospital, University of Hong Kong have been scored using four disease severity systems. Two scores were calculated; on admission clinical and laboratory data and 48 hours later using the APACHE II, Stevens sepsis score (SSS). Mannheim peritonitis index (MPI) and Elebute and Stoner (MRC) system. Scores of the patients who died or who suffered systemic complications were statistically significantly higher than in those who had a uncomplicated recovery using all four systems. The 48 hour data showed the larger differences. Accuracy, sensitivity and specificity for deaths were between 60-100% using cut off points suggested by the originators of the scoring systems. Again 48 hour data tended to be more accurate and the APACHE II system was the most useful overall. Similar results were found in prediction of complications but sensitivity was unreliable. As in other scoring systems which use clinical or laboratory derived parameters, these four disease severity systems can identify patients who are at risk. Patients who need intensive resuscitation and treatment can be selected early but with no greater accuracy than by using systems specifically designed for acute pancreatitis.en_US
dc.languageengen_US
dc.relation.ispartofSurgical Research Communicationsen_US
dc.titleIs it possible to predict the outcome of acute pancreatitis?en_US
dc.typeConference_Paperen_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.scopuseid_2-s2.0-0025907880en_US
dc.identifier.volume10en_US
dc.identifier.issue3en_US
dc.identifier.spage151en_US
dc.identifier.epage157en_US
dc.publisher.placeSwitzerlanden_US
dc.identifier.scopusauthoridAlHadeedi, S=6508210805en_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US
dc.identifier.scopusauthoridLeaper, DJ=7007082696en_US

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