| Autor: |
Gürhan Adam, Erdem Koçak, Celal Çınar, Füsun Adam, Canan Bor, Mehmet Korkmaz, Mehmet Uyar |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Van Tıp Dergisi, Vol 24, Iss 4, Pp 238-243 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
2587-0351 |
| DOI: |
10.5505/vtd.2017.03016 |
| Popis: |
INTRODUCTION: To evaluate the utility of CT severity index (CTSI) and two main scoring systems (Ranson and APACHE II) for patients underwent mechanical ventilation due to pulmonary complications associated with severe pancreatitis. METHODS: Mechanical ventilated patients due to severe acute pancreatitis were enrolled the study. CTSI and two traditional clinical scoring systems including APACHE II and Ranson were used to predict the mortality rates in mechanical ventilated patients due to severe AP. RESULTS: Nine of 36 patients were survived (25%). The ICU (Intensive Care Unit) mortality was 66.6% (n= 24) and hospital mortality was 75% (n= 27). Patients had upper then 17 scores for APACHE II score, the sensitivity and specificity were 64% and 66%, respectively to predict the mortality, by CTSI (> 4) and Ranson scoring system (> 6) with sensitivity and specificity of 60% and 40% and 50% and 46%, respectively. DISCUSSION AND CONCLUSION: In this study, CTSI and high score of Ranson and APACHE II were found to be independent predictors in underwent mechanical ventilated patients due to severe pancreatitis in ICU. However, APACHE II was the most reliable scoring system for predicting the mortality rate. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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