Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland
| Autor: | Kristján Skúli Asgeirsson, Helgi Birgisson, Jónas Magnússon, Sigurður V Sigurjónsson, Páll Helgi Möller, Asgeir Thoroddsen, Birgisson S |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Iceland Epidemiology medicine Humans Prospective Studies Prospective cohort study APACHE Aged Aged 80 and over APACHE II business.industry Incidence (epidemiology) Incidence Gallstones Length of Stay Middle Aged medicine.disease Surgery Pancreatitis Acute Disease Acute pancreatitis Female business Cohort study |
| Zdroj: | The European journal of surgery = Acta chirurgica. 168(5) |
| ISSN: | 1102-4151 |
| Popis: | To evaluate the incidence, aetiology, severity and mortality of patients with acute pancreatitis.Prospective study.University hospital, Iceland.All 50 patients diagnosed with acute pancreatitis during the one-year period October 1998-September 1999 inclusive.APACHE II, and Ranson and Imrie scores, and C-reactive protein (CRP) concentrations. The Balthazar-Ranson criteria were used for scoring of computed tomograms (CT).27 of the 50 patients were male. The median age of the whole series was 60 years (range 19-85). The estimated incidence was 32/100000 for the first attack of acute pancreatitis. The causes were; gallstones 21 (42%), alcohol 16 (32%), miscellaneous 12 (24%), and idiopathic 1 (2%). 15 (33%) of the patients had APACHE II scoresor = 9, 17 (38%) had Ranson scores ofor = 3, 23 (50%) had Imrie scores ofor = 3, and 16 (34%) had CRP concentrations over 210 mg/L during the first 4 days or120 mg/L during the first week. Seven patients had severe pancreatitis. 2 patients in the whole group died, and both had clinically severe pancreatitis.This study indicates that the incidence of less severe acute pancreatitis is rising. Prospective assessment makes it possible to evaluate the aetiological factors more accurately. Measurement of the CRP concentration is an attractive and simple alternative to the severity scoring systems currently in use. |
| Databáze: | OpenAIRE |
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