Predicting the Severity of Acute Pancreatitis Using Ultrasound Markers and Clinical Scales
Abstract For the timely determination of the tactics of treatment of acute pancreatitis, it is necessary to predict the severity when the patient enters the hospital.Aim of the study To assess the possibility of predicting the severity of acute pancreatitis using ultrasound markers, clinical scales....
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2022-09-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/1413 |
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| author | V. A. Rudenko L. N. Kakaulina I. V. Verzakova I. M. Karamova |
| author_facet | V. A. Rudenko L. N. Kakaulina I. V. Verzakova I. M. Karamova |
| author_sort | V. A. Rudenko |
| collection | DOAJ |
| description | Abstract For the timely determination of the tactics of treatment of acute pancreatitis, it is necessary to predict the severity when the patient enters the hospital.Aim of the study To assess the possibility of predicting the severity of acute pancreatitis using ultrasound markers, clinical scales.Material and methods A retrospective analysis of the diagnostic results of 84 patients who were hospitalized for acute pancreatitis was carried out. The results of clinical-laboratory and morphological diagnostic methods obtained upon admission of a patient to a hospital in patients with varying degrees of severity of ap were analyzed. Clinical and laboratory data were analyzed using prognostic scales — marshall, ranson, sofa, bisap. The analysis of morphological changes in the pancreas during ultrasound and computed tomography was performed using the balthazar classification.Results The sensitivity of clinical scales for determining the severity of ap was 67% on the sofa scale, 87.5% on the bisap scale, and 100% on the ranson and marshall scales. All patients (22) who had signs corresponding to the balthazar stage d and e upon ultrasound examination subsequently had a moderate and severe course of the disease.Conclusion The use of ultrasonic markers of acute pancreatitis in conjunction with the data of clinical and laboratory scales makes it possible to predict the severity of acute pancreatitis. |
| format | Article |
| id | doaj-art-7102727330c949cb9cf958ffa7f3a7b4 |
| institution | Kabale University |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2022-09-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-7102727330c949cb9cf958ffa7f3a7b42025-08-20T03:56:36ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172022-09-0111227427910.23934/2223-9022-2022-11-2-274-279778Predicting the Severity of Acute Pancreatitis Using Ultrasound Markers and Clinical ScalesV. A. Rudenko0L. N. Kakaulina1I. V. Verzakova2I. M. Karamova3Department of Functional and Ultrasound Diagnostics, Emergency Hospital; Bashkirsky State Medical UniversityDepartment of Functional and Ultrasound Diagnostics, Emergency Hospital; Bashkirsky State Medical UniversityBashkirsky State Medical UniversityDepartment of Functional and Ultrasound Diagnostics, Emergency HospitalAbstract For the timely determination of the tactics of treatment of acute pancreatitis, it is necessary to predict the severity when the patient enters the hospital.Aim of the study To assess the possibility of predicting the severity of acute pancreatitis using ultrasound markers, clinical scales.Material and methods A retrospective analysis of the diagnostic results of 84 patients who were hospitalized for acute pancreatitis was carried out. The results of clinical-laboratory and morphological diagnostic methods obtained upon admission of a patient to a hospital in patients with varying degrees of severity of ap were analyzed. Clinical and laboratory data were analyzed using prognostic scales — marshall, ranson, sofa, bisap. The analysis of morphological changes in the pancreas during ultrasound and computed tomography was performed using the balthazar classification.Results The sensitivity of clinical scales for determining the severity of ap was 67% on the sofa scale, 87.5% on the bisap scale, and 100% on the ranson and marshall scales. All patients (22) who had signs corresponding to the balthazar stage d and e upon ultrasound examination subsequently had a moderate and severe course of the disease.Conclusion The use of ultrasonic markers of acute pancreatitis in conjunction with the data of clinical and laboratory scales makes it possible to predict the severity of acute pancreatitis.https://www.jnmp.ru/jour/article/view/1413acute pancreatitispancreatic necrosisultrasound examinationclinical prognostic scales |
| spellingShingle | V. A. Rudenko L. N. Kakaulina I. V. Verzakova I. M. Karamova Predicting the Severity of Acute Pancreatitis Using Ultrasound Markers and Clinical Scales Неотложная медицинская помощь acute pancreatitis pancreatic necrosis ultrasound examination clinical prognostic scales |
| title | Predicting the Severity of Acute Pancreatitis Using Ultrasound Markers and Clinical Scales |
| title_full | Predicting the Severity of Acute Pancreatitis Using Ultrasound Markers and Clinical Scales |
| title_fullStr | Predicting the Severity of Acute Pancreatitis Using Ultrasound Markers and Clinical Scales |
| title_full_unstemmed | Predicting the Severity of Acute Pancreatitis Using Ultrasound Markers and Clinical Scales |
| title_short | Predicting the Severity of Acute Pancreatitis Using Ultrasound Markers and Clinical Scales |
| title_sort | predicting the severity of acute pancreatitis using ultrasound markers and clinical scales |
| topic | acute pancreatitis pancreatic necrosis ultrasound examination clinical prognostic scales |
| url | https://www.jnmp.ru/jour/article/view/1413 |
| work_keys_str_mv | AT varudenko predictingtheseverityofacutepancreatitisusingultrasoundmarkersandclinicalscales AT lnkakaulina predictingtheseverityofacutepancreatitisusingultrasoundmarkersandclinicalscales AT ivverzakova predictingtheseverityofacutepancreatitisusingultrasoundmarkersandclinicalscales AT imkaramova predictingtheseverityofacutepancreatitisusingultrasoundmarkersandclinicalscales |