A Comparative Study of Assessment of Different Parameters for Assessing Severity of Acute Pancreatitis
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 6
Abstract
Introduction: The need for assessing the severity of acute pancreatitis is because the management and prognosis are mainly decided by the severity of the disease. A parameter with high positive predictive value and accuracy which could be best correlated with clinical course, severity and identifies the local extent and complications, is beneficial for proper planning and management of the patient. Materials and Methods: This was a prospective study conducted over 2 years period on admitted cases of acute pancreatitis. Total 157 patients were selected for study. All data regarding APACHE II Score, CT severity index and C - reactive protein parameter for assessing the prognosis of acute pancreatitis were analysed to find out best indicator. Results: According to APACHE II scoring system 73.2% categorised as mild whereas 26.8% into severe groups. As per CT severity index, 79% patients were categorised in mild and 21 % in severe group. CRP level showed 61.7% in mild group whereas 38.3% in severe group. In our study CT Severity index showed highest sensitivity (84.2%), specificity (97.4%), positive predictive value (91.4%) negative predictive value (95%) and accuracy (94.2%), compared to APACHE II score and CRP levels. Conclusion: The comparative study between different scoring systems, CTSI had the highest PPV, NPV, sensitivity, specificity and accuracy and best correlated with the clinical course of the disease and was able to detect the extent of local inflammation and the occurrence of local complications
Authors and Affiliations
Rajnish Chandran
Keywords
Related Articles
- EP ID EP286127
- DOI -
- Views 50
- Downloads 0
A Rare Case of Isolated Pleural Metastasis of Osteosarcoma
INTRODUCTION Osteosarcoma is the most common primary bone tumor in children and young adults arising from primitive mesenchymal bone-forming cells. Metastasis from osteosarcoma is most commonly to lungs, bone, brain and...
Complete Response to Neoadjuvant Chemoradiation in Locally Advanced Rectal Cancer: Will DW MRI Hold the Key to Deciding Non Surgical Management?
Rectal carcinomas are among the more common malignancies diagnosed worldwide in both genders. Over the last couple of decades, MRI has gradually replaced transrectal ultrasound and CT as the imaging modality of choice in...
Comparative Study of Onlay and Pre-Peritoneal Mesh Repair in the Management of Ventral Hernias
Introduction: Ventral hernias is major problem in surgical practice and occurs in up to 11% of patients undergoing laparotomy. Argument for the ideal surgical procedure for placing mesh continues to be unsolved. Hence th...
Evaluation of Outcome Determinants in Snakebite Victims in A Rural Medical College of South Bengal
Background: Snake bite is a neglected public health problem in India. Hence, identification of the clinical parameters as reliable determinants of mortality which may be used at peripheral levels of health care, is essen...
Gene Chips in Microbiology-its Various Diagnostic Applications
The laboratory introduction of in vitro nucleic acid amplification techniques, led by real-time PCR, into the clinical microbiology laboratory has transformed the laboratory detection of viruses and select bacterial path...