Etiology, severity and treatment outcomes of acute pancreatitis in maharaj nakorn Chiang Mai hospital: A retrospective study

© 2018, Medical Association of Thailand. All rights reserved. Background: Severity of acute pancreatitis varies from mild to severe. BISAP score is used for prediction of severity and mortality in acute pancreatitis and is a tool for triage patients for appropriate care. Objective: To determine etio...

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Main Authors: Tuanjai Mahatumarat, Kanokwan Pinyopornpanish, Nithi Thinrungroj, Apinya Leerapun, Taned Chitapanarux, Satawat Thongsawat, Phuripong Kijdamrongthum
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Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/58944
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spelling th-cmuir.6653943832-589442018-09-05T04:35:25Z Etiology, severity and treatment outcomes of acute pancreatitis in maharaj nakorn Chiang Mai hospital: A retrospective study Tuanjai Mahatumarat Kanokwan Pinyopornpanish Nithi Thinrungroj Apinya Leerapun Taned Chitapanarux Satawat Thongsawat Phuripong Kijdamrongthum Medicine © 2018, Medical Association of Thailand. All rights reserved. Background: Severity of acute pancreatitis varies from mild to severe. BISAP score is used for prediction of severity and mortality in acute pancreatitis and is a tool for triage patients for appropriate care. Objective: To determine etiology, severity and treatment outcomes of acute pancreatitis in Maharaj Nakorn Chiang Mai Hospital. Usage of the BISAP score to predict outcomes of treatment was also evaluated. Materials and Methods: Data pertinent to 115 patients with acute pancreatitis were retrospectively reviewed to define the incidence of severe acute pancreatitis, etiology of pancreatitis and treatment outcomes. Data regarding local complications, organ failure, length of hospital stay and death were also analyzed to evaluate the capability of the BISAP score for prediction of outcomes. Results: The major causes of acute pancreatitis were gallstones (43.5%) and alcohol use (36.5%). Twenty-one patients (18%)were classified as having severe acute pancreatitis. Overall mortality was 4.3% and rising to 24% in severe acute pancreatitis. The relationship between the development of severe acute pancreatitis with a BISAP score >3 (p<0.001) and mortality (p<0.001) was statistically significant. It was also associated with increased organ failure but not local complications. Conclusion: Etiologies, severity and outcomes of acute pancreatitis in this study were similar to previous studies. A BISAP score >3 was valuable in the prediction of severe acute pancreatitis and mortality. 2018-09-05T04:35:25Z 2018-09-05T04:35:25Z 2018-04-01 Journal 01252208 2-s2.0-85049130147 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85049130147&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/58944
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Tuanjai Mahatumarat
Kanokwan Pinyopornpanish
Nithi Thinrungroj
Apinya Leerapun
Taned Chitapanarux
Satawat Thongsawat
Phuripong Kijdamrongthum
Etiology, severity and treatment outcomes of acute pancreatitis in maharaj nakorn Chiang Mai hospital: A retrospective study
description © 2018, Medical Association of Thailand. All rights reserved. Background: Severity of acute pancreatitis varies from mild to severe. BISAP score is used for prediction of severity and mortality in acute pancreatitis and is a tool for triage patients for appropriate care. Objective: To determine etiology, severity and treatment outcomes of acute pancreatitis in Maharaj Nakorn Chiang Mai Hospital. Usage of the BISAP score to predict outcomes of treatment was also evaluated. Materials and Methods: Data pertinent to 115 patients with acute pancreatitis were retrospectively reviewed to define the incidence of severe acute pancreatitis, etiology of pancreatitis and treatment outcomes. Data regarding local complications, organ failure, length of hospital stay and death were also analyzed to evaluate the capability of the BISAP score for prediction of outcomes. Results: The major causes of acute pancreatitis were gallstones (43.5%) and alcohol use (36.5%). Twenty-one patients (18%)were classified as having severe acute pancreatitis. Overall mortality was 4.3% and rising to 24% in severe acute pancreatitis. The relationship between the development of severe acute pancreatitis with a BISAP score >3 (p<0.001) and mortality (p<0.001) was statistically significant. It was also associated with increased organ failure but not local complications. Conclusion: Etiologies, severity and outcomes of acute pancreatitis in this study were similar to previous studies. A BISAP score >3 was valuable in the prediction of severe acute pancreatitis and mortality.
format Journal
author Tuanjai Mahatumarat
Kanokwan Pinyopornpanish
Nithi Thinrungroj
Apinya Leerapun
Taned Chitapanarux
Satawat Thongsawat
Phuripong Kijdamrongthum
author_facet Tuanjai Mahatumarat
Kanokwan Pinyopornpanish
Nithi Thinrungroj
Apinya Leerapun
Taned Chitapanarux
Satawat Thongsawat
Phuripong Kijdamrongthum
author_sort Tuanjai Mahatumarat
title Etiology, severity and treatment outcomes of acute pancreatitis in maharaj nakorn Chiang Mai hospital: A retrospective study
title_short Etiology, severity and treatment outcomes of acute pancreatitis in maharaj nakorn Chiang Mai hospital: A retrospective study
title_full Etiology, severity and treatment outcomes of acute pancreatitis in maharaj nakorn Chiang Mai hospital: A retrospective study
title_fullStr Etiology, severity and treatment outcomes of acute pancreatitis in maharaj nakorn Chiang Mai hospital: A retrospective study
title_full_unstemmed Etiology, severity and treatment outcomes of acute pancreatitis in maharaj nakorn Chiang Mai hospital: A retrospective study
title_sort etiology, severity and treatment outcomes of acute pancreatitis in maharaj nakorn chiang mai hospital: a retrospective study
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85049130147&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/58944
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