Hemoconcentration, Apache II and Ranson as early predictors of severity in patients with acute pancreatitis in a hospital in Lima - Peru

• Published in: Revista de gastroenterología del Perú Vol. 31; no. 1; pp. 26 - 31
• Main Authors: Chavarría Herbozo, Carlos Miguel, Espinoza Ríos, Jorge Luis, Kawano Kobashigawa, David Alberto, Surco, Yolanda, Bravo, Eduard, Samalvides Cuba, Frine, Prochazka Zárate, Ricardo, Piscoya Rivera, Alejandro, Pinto Valdivia, José, de Los Ríos Senmache, Raúl, Huerta Mercado, Jorge
• Format: Journal Article
• Language: Spanish
• Published: Peru 01-01-2011
• Subjects: Acute Disease; Adolescent; Adult; Aged; Aged, 80 and over; APACHE; Female; Hematocrit; Hospitals; Humans; Male; Middle Aged; Pancreatitis - blood; Peru; Predictive Value of Tests; Retrospective Studies; Severity of Illness Index; Young Adult; Peru
• ISSN: 1609-722X

Compare hemoconcetration, APACHE II and Ranson scores as early predictors of severity defined by Atlanta criteria in patients with acute pancreatitis at Hospital Nacional Cayetano Heredia.
Retrospective descriptive study between December 2009 to November 2010 done using a data collection sheet to gather study relevant information. We classified acute pancreatitis into mild or severe according to Atlanta symposium criteria for organ failure and/or local complications. Comparison of hematocrit values was made using a t Student test to detect a significant difference and the area below the ROC curve was analyzed.
Counting with 151 patients, 103 women (68.2%), with mean age of 45.5 ± 19.17 years, 112 mild pancreatitis (74.2%) and 39 severe (25.8%). Mean hematocrit in mild cases was 38.40 ± 4.77% and 39.78 ± 7.35% in severe group with p equal to 0.182. Area below the ROC curve of 0.89 y 0.68 for APACHE II and Ranson scores respectively.
Hemoconcentration and Ranson proved not to be as useful as APACHE II score in predicting severity in acute pancreatitis.