[Clinical profile and results of acute pancreatitis in the Intensive and Intermediate Care Unit of a general hospital]

Rev Gastroenterol Peru. 2020 Jan-Mar;40(1):52-60.
[Article in Spanish]

Abstract

Acute pancreatitis (AP) is an acute inflammatory process of the pancreas that, according to the 2012 Atlanta classification, can be mild, moderate or severe.

Objective: Describe the epidemiological, clinical, therapeutic and outcomes of patients with AP admitted to the intensive care and intermediate care unit of a general hospital and compare them with those described in the national and international literature.

Materials and methods: Observational study of patients with AP treated over a period of 3 years.

Results: 59 cases were included; the female sex prevailed (54.2%), the average age was 59.3 years, the most frequent etiology was biliary (84.7%). Average entry severity scores were APACHE II of 12.4 points, SOFA of 4.9 points and Marshall modified of 2.8 points; The most frequent organ failure was respiratory (47.5%). The average stay in care was 13.9 days and in the hospital it was 23.3 days. No patients with mild or moderate AP died during their hospital stay, 6 patients with severe AP died during their hospital stay (20% of cases of severe AP).

Conclusion: The cases of our hospital had a clinical and therapeutic profile similar to that described in the world and Latin American literature. A hospital staying was greater than that described in recent works, but our mortality was lower.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Combined Modality Therapy
  • Endosonography*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Pancreatic Intraductal Neoplasms / diagnostic imaging*
  • Pancreatic Intraductal Neoplasms / mortality*
  • Pancreatic Intraductal Neoplasms / therapy
  • Prognosis
  • Retrospective Studies
  • Survival Analysis