Outcome assessment in acute pancreatitis patients
Early diagnosis and severity evaluation in patients with acute pancreatitis (AP) are very important due to its potential morbidity and mortality. Several clinical, laboratory, and radiologic factors, and many scoring systems have been proposed for outcome prediction. Although the Ranson and Acute Ph...
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Format: | Article |
Language: | English |
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Wiley
2013-09-01
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Series: | Kaohsiung Journal of Medical Sciences |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X12003051 |
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author | Wei-Sin Lee Jee-Fu Huang Wan-Long Chuang |
author_facet | Wei-Sin Lee Jee-Fu Huang Wan-Long Chuang |
author_sort | Wei-Sin Lee |
collection | DOAJ |
description | Early diagnosis and severity evaluation in patients with acute pancreatitis (AP) are very important due to its potential morbidity and mortality. Several clinical, laboratory, and radiologic factors, and many scoring systems have been proposed for outcome prediction. Although the Ranson and Acute Physiology and Chronic Health Evaluation II scoring systems have been widely used for decades, the cumbersome components partly limit their predictability. Recently, the Bedside Index for Severity in AP scoring system and series blood urea nitrogen changes, which are simple and convenient to evaluate within 24 hours after admission, have been validated for accuracy by several large-cohort studies. The presence of organ failure and systemic inflammatory response syndrome are also helpful to evaluate the severity of AP. Herein we review recent advances of the predictive methods for AP to provide an up-to-date perspective on outcome assessment of AP. |
first_indexed | 2024-12-11T18:02:23Z |
format | Article |
id | doaj.art-d62a8a3ebe044107a9688daa6a985a57 |
institution | Directory Open Access Journal |
issn | 1607-551X |
language | English |
last_indexed | 2024-12-11T18:02:23Z |
publishDate | 2013-09-01 |
publisher | Wiley |
record_format | Article |
series | Kaohsiung Journal of Medical Sciences |
spelling | doaj.art-d62a8a3ebe044107a9688daa6a985a572022-12-22T00:55:51ZengWileyKaohsiung Journal of Medical Sciences1607-551X2013-09-0129946947710.1016/j.kjms.2012.10.007Outcome assessment in acute pancreatitis patientsWei-Sin Lee0Jee-Fu Huang1Wan-Long Chuang2Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanEarly diagnosis and severity evaluation in patients with acute pancreatitis (AP) are very important due to its potential morbidity and mortality. Several clinical, laboratory, and radiologic factors, and many scoring systems have been proposed for outcome prediction. Although the Ranson and Acute Physiology and Chronic Health Evaluation II scoring systems have been widely used for decades, the cumbersome components partly limit their predictability. Recently, the Bedside Index for Severity in AP scoring system and series blood urea nitrogen changes, which are simple and convenient to evaluate within 24 hours after admission, have been validated for accuracy by several large-cohort studies. The presence of organ failure and systemic inflammatory response syndrome are also helpful to evaluate the severity of AP. Herein we review recent advances of the predictive methods for AP to provide an up-to-date perspective on outcome assessment of AP.http://www.sciencedirect.com/science/article/pii/S1607551X12003051Acute pancreatitisDisease outcomeMortality and morbidityScoring systemsSystemic inflammatory response syndrome |
spellingShingle | Wei-Sin Lee Jee-Fu Huang Wan-Long Chuang Outcome assessment in acute pancreatitis patients Kaohsiung Journal of Medical Sciences Acute pancreatitis Disease outcome Mortality and morbidity Scoring systems Systemic inflammatory response syndrome |
title | Outcome assessment in acute pancreatitis patients |
title_full | Outcome assessment in acute pancreatitis patients |
title_fullStr | Outcome assessment in acute pancreatitis patients |
title_full_unstemmed | Outcome assessment in acute pancreatitis patients |
title_short | Outcome assessment in acute pancreatitis patients |
title_sort | outcome assessment in acute pancreatitis patients |
topic | Acute pancreatitis Disease outcome Mortality and morbidity Scoring systems Systemic inflammatory response syndrome |
url | http://www.sciencedirect.com/science/article/pii/S1607551X12003051 |
work_keys_str_mv | AT weisinlee outcomeassessmentinacutepancreatitispatients AT jeefuhuang outcomeassessmentinacutepancreatitispatients AT wanlongchuang outcomeassessmentinacutepancreatitispatients |