EWS in Predicting Severity of Acute Pancreatitis - An Early Guide for Clinician Working in Limited Facilities
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Acute pancreatitis is fairly common and lethal condition, often associated with one or more complications in varying degree; demanding high index of suspicion, early diagnosis and aggressive individualized management, if morbidity and mortality has to be lowered. The purpose of this retrospective observational study was to quantify the SIRS response of the body in the form of Emergency Warning Score (EWS) and correlating it with the severity of Acute Pancreatitis (AP). Material and Methods: This retrospective study of 120 consecutive patients of diagnosed AP has been carried out in a hospital attached to a medical college. Patients admitted with first episode of acute pancreatitis, diagnosed as per Revised Atlanta Classification, 2012 are included. Recorded clinical data (respiratory rate, temperature, blood pressure, pulse rate, CNS status, urine output) within the first 24 hours of admission of each patient were used to calculate EWS on hourly bases. Then it was correlated individually with each patient’s disease severity they developed during the course of admission; to find if it has any role in predicting the disease severity. It was also correlated with the clinical progression of the disease in terms of favourable or unfavourable outcome. Results: It was observed that 60 patients with EWS ≥4 on the first day later developed moderate to severe AP. Of them 40 (66.67%) patients had unfavourable outcome with mortality in 16 (26.67%) patients. These patients had long duration (median 19 days) of hospital stay. Conclusion: EWS score≥4 on first day of admission can predict the disease severity and thus unfavourable outcome. No need of investigations (to predict the disease severity) and easy application makes EWS system a useful guide for clinician to anticipate progress of disease
Authors and Affiliations
Ronak Vyas, Kashyap Vyas
Keywords
Related Articles
- EP ID EP426493
- DOI -
- Views 96
- Downloads 0
Prospective of Oral Pathology as Profession - A Cross Sectional Study
Introduction: Choosing a specialty branch after bachelor’s degree is quite intricate, especially in dental field where all branches have their own importance and applicability. So in such circumstances one should assess...
A Hospital based Study Evaluating Oligohydraminous and Its Perinatal Outcome
Introduction: Decrease in the volume of amniotic fluid is known as Oligohydramnios and it is associated with increased risk of intrauterine growth retardation, severe birth asphyxia along with low APGAR scores and congen...
Prevalence of ESBL, MBL and Amp C Producing XDR Acinetobacter Isolates from Lower Respiratory Tract Specimens
Introduction: Acinetobacter baumannii has become a red alert pathogen in ICU as a result of their profundity in developing multidrug (MDR) and extreme drug resistance (XDR). The problem is further worsened by the emergen...
To assess the Effect of Self-Instructional Module on Knowledge and Practices Regarding Directly Observed Treatment, Short-Course (DOTS) among ASHA in Selected Rural Area
Introduction: Tuberculosis is one of India's major public health problems. The Indian government’s Revised National TB Control Programmed (RNTCP) started in India during 1997. The program uses the WHO recommended directl...
Clinical Study of Hypertensive Crisis in Medicine Ward
Introduction: A majority of hypertensive crisis cases are consequent of inadequate medical treatment. Hypertensive crisis is an urgent situation in the emergency department and presents various clinical patterns. The pre...