Predicting Hospitalization, Organ Dysfunction, and Mortality in Post-Endoscopic Retrograde Cholangiopancreatography Acute Pancreatitis: Are SIRS and qSOFA Reliable Tools?
نویسندگان
چکیده
Background: Post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) has shown constant incidence throughout time, despite advances in endoscopic technology, devices, or personal skills of the operating endoscopists, with prevention and prediction severity PEP being concerns. Several prospective studies have investigated role systemic inflammatory response syndrome (SIRS) criteria quick Sequential Organ Failure Assessment (qSOFA) score assessment. However, there are no clearly defined tools for severity. Methods: A total 403 patients were prospectively monitored 60 days after ERCP detection development. Consequently, we evaluated lengths stay, organic dysfunction, mortality rates these patients. The predictive power univariate model was by using receiver characteristic curve analyzing area under (AUC). Results: Incidence similar to that reported majority trials. 60-day survival rate reached 82.8%. qSOFA ≥ 1 is a very good predictor organ dysfunction (AUC 0.993, p < 0.0001). SIRS can also be considered significant dysfunctions 0.926, only found significantly predict 0.885, = 0.003), showing much lower power. Neither nor showed any value length stay Conclusion: Our study offers novel information about Both mortality, hospitalization.
منابع مشابه
Post-endoscopic retrograde cholangiopancreatography pancreatitis
Acute pancreatitis remains the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). It is reported to occur in 2-10% of unselected patient samples and up to 40% of high-risk patients. The purpose of this article is to review the evidence behind the known risk factors for post-ERCP pancreatitis, as well as the technical and medical approaches developed to prevent it...
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Endoscopic retrograde cholangiopancreatography (ERCP) is an essential modality for the diagnosis and therapy of pancreatobiliary disease. However, complications of ERCP-related procedures are also common. Post-ERCP pancreatitis (PEP), the most common and potentially serious complication of ERCP-related procedures, occurs in 1 9% of all procedures (1-16). Moreover, the PEP rate increases to 10 4...
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Post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) is not an uncommon adverse event but may be an avoidable complication. Although pancreatitis of severe grade is reported in 0.1%-0.5% of ERCP patients, a serious clinical course may be lethal. For prevention of severe PEP, patient risk stratification, appropriate selection of patients using noninvasive diagnostic imag...
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ژورنال
عنوان ژورنال: Applied sciences
سال: 2023
ISSN: ['2076-3417']
DOI: https://doi.org/10.3390/app13116650