Evaluation of scoring systems in terms of early prediction of severe acute pancreatitis and mortality in patients over 65 years of age.

dc.contributor.authorAcehan, Selen
dc.contributor.authorSatar, Salim
dc.contributor.authorGülen, Müge
dc.contributor.authorToptaş Fırat, Başak
dc.contributor.authorAka Satar, Deniz
dc.contributor.authorTaş, Adnan
dc.date.accessioned2023-01-19T12:40:42Z
dc.date.available2023-01-19T12:40:42Z
dc.date.issued2022
dc.departmentTıp Fakültesi
dc.description.abstractPurpose: The aim of this study is to investigate the power of disease severity scores to predict the development of Severe Acute Pancreatitis (SAP) and mortality in the early period over 65 years old diagnosed with acute pancreatitis in the emergency department. Materials and Methods: We calculated RANSON (on admission) and Computed Tomography Severity Index (CTSI) in addition to Bedside Index for Severity in Acute Pancreatitis (BISAP) score on admission to the emergency department. Results: One hundred and sixty patients (46.9% over 80 years of age) were included in the study. We observed statistically higher length of hospitalization, longer duration of stay in the intensive care unit, SAP and higher mortality in patients over 80 years of age. When we examined the ROC curve, we determined that the AUC values of the BISAP score were highest in both SAP and mortality estimation (AUC: 0.911, 95% CI 0.861-0.962; AUC: 0.918, 95% CI 0.864-0.9722, respectively). Binary logistic analysis indicated a 4.7-fold increased risk for SAP and a 12.3-fold increased mortality for each unit increase in BISAP score value. Conclusion: BISAP may be a good predictor for SAP and mortality estimation on admission to the emergency department in patients over 65 years of age with acute pancreatitis.
dc.identifier.doi10.17826/cumj.1121730
dc.identifier.endpage1338en_US
dc.identifier.issn2602-3032
dc.identifier.issn2602-3040
dc.identifier.issue3en_US
dc.identifier.startpage1327en_US
dc.identifier.urihttps:/dx.doi.org/10.17826/cumj.1121730
dc.identifier.urihttps://hdl.handle.net/20.500.12451/9985
dc.identifier.volume47en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherÇukurova Üniversitesi
dc.relation.ispartofCukurova Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBISAP
dc.subjectCTSI
dc.subjectMortality
dc.subjectRANSON
dc.subjectSevere Acute Pancreatitis
dc.titleEvaluation of scoring systems in terms of early prediction of severe acute pancreatitis and mortality in patients over 65 years of age.
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Yükleniyor...
Küçük Resim
İsim:
acehan-selen-2022.pdf
Boyut:
410.48 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama: