To study the Utility of Modified Glasgow Score and CT Severity Score in Acute Pancreatitis- A Clinical Study
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 11
Abstract
Background: Acute pancreatitis is a common condition presenting as acute abdomen.The aim of the study was to correlate the severity of anatomical damage (CECT findings) and physiological derangements (Glasgow score), outcomes with respect to mortality and morbidity. Materials & Methods: It comprised of thirty (30) cases of acute pancreatitis. In all patients a detailed history and a thorough physical examination were carried out. The severity of pancreatitis was assessed as follows: Markers of severity at admission and during the first 48 hours. It includes GLASGOW score, SIRS, azotemia, haemoconcentration and organ failure. Data in both the scores were then statistically analyzed to assess the significance of correlation. P value less than 0.05 was considered significant. Results: There were 19 (63.33%) males and 11 (36.67%) females. The difference was significant (P< 0.05). The mean serum albumin value in patients was 3.16 g/dl. Mean arterial PO2 was 84.92%. Mean serum calcium value was 8.52mg/dl. Mean RBS was 166.27mg/dl. Mean LDH value was 501.14 IU/l. Mean BUN value in patients was 36.82. Significant correlation was observed between the mortality rate and patients who had mean CT grading of more than 3.60. There was significant correlation between CT score, mortality, and prolonged stay (>30 days.) as shown in spearman’s rank correlation test. Conclusion: We conclude that Glasgow and CTSI are important to predict the severity of acute pancreatitis. But there was no significant correlation existed between Balthazar score and Glasgow score when compared with patients having varied severity of pancreatitis.
Authors and Affiliations
Sudarshan Kapoor, Deep Singh, Ramesh Chander
Keywords
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