Combination of APACHE-II score and an obesity score (APACHE-O) for the prediction of severe acute pancreatitis

Johnson, C. Daniel; Toh, Simon; Campbell, Mike

doi:10.1159/000077021

Cited by 141 publications

(105 citation statements)

References 36 publications

(42 reference statements)

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“…A recent meta-analysis concluded that obese patients (defined as those with a BMI >30) had more systemic and local complications but not greater mortality (57). In one recent report, the combination of APACHE-II and obesity (a classification termed APACHE-O) measured within the first 24 h of admission improved the prediction of severity in patients with acute pancreatitis (58).…”

Section: Diagnostic Guideline I: Look For Risk Factors Of Severity Atmentioning

confidence: 99%

See 1 more Smart Citation

Practice Guidelines in Acute Pancreatitis

Banks

Freeman

2006

Am J Gastroenterology

1,659

980

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Section: Diagnostic Guideline I: Look For Risk Factors Of Severity Atmentioning

confidence: 99%

“…In this scoring system, a point is added to the APACHE-II score when the BMI is 26-30 and 2 points are added when the BMI is greater than 30 (58).…”

Section: Level Of Evidence: IIImentioning

confidence: 99%

Practice Guidelines in Acute Pancreatitis

Banks

Freeman

2006

Am J Gastroenterology

1,659

980

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“…In the literature, several scoring systems and prognostic factors, i.e., APACHE-O, have been studied together to ensure that severe clinical courses of AP are diagnosed with a better accuracy (13). However, the most effective combination of these parameters remains to be determined.…”

Section: Introductionmentioning

confidence: 99%

Can C-reactive protein levels increase the accuracy of the Ranson score in predicting the severity and prognosis of acute pancreatitis? A prospective cohort study

Başak

Hasbahçeci²,

Şişik³

et al. 2017

Turk J Gastroenterol

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“…APACHE III consisting of 18 criteria was defined in 1991, and with the addition of obesity, APACHE-O was defined in 1996.In a metaanalysis study on obesity(BMI>30), the incidence of systemic and local complications were higher [38].The incidence of mortality is below 4% in patients with an APACHE II score less than 8. The incidence of mortality ranges between 11-18% in patients who have APACHE II scores of 8 or more [39].…”

Section: Apache Classificationmentioning

confidence: 99%

Contemporary Management of Acute Biliary Pancreatitis

Özkan¹

2015

Ann Clin Anal Med

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ÖzetAkut biliary pankreatit, en yaygın akut pankreatit nedenlerindendir. Safra taş-ları, safra çamuru, özellikle nedeni saptanamayanlarda mikrolityazis pankreatit nedeni olabilmektedir. Akut biliyer pankreatit konusu literatürde çok tartışmalı yönleri olan ve sınıflandırma ve klavuzları çok hızlı değişen bir konudur .Akut pankreatit ile ilgili tanımlamaların ve klasifikasyonların yapıldığı Atlanta kriterleri yenilenerek 2013 yılında yayınlanmıştır. Akut biliyer pankreatitte çok kolay tedavi edilebilen hafif şeklinden mortaliteye neden olan komplikasyonlara yo laçan ağır şekline kadar geniş bir spectrum vardır. Bu hastalığın patogenesi tam olarak aydınlatılamamış ve çeşitli teoriler ileri sürülmüştür.Gerek tanı gerekse ağırlık derecesini tahmin etmek için protemiks gibi yeni laboratuar yöntemleri ve skorlama sistemleri önerilmiş ve bunlarla ilgili ça-lışmalar devam etmektedir. ERCP, ES, MRCP, EUS gibi teknolojik gelişmelerle ilişkili yeni tedavi yaklaşımları önerilmektedir. Anahtar KelimelerAkut Bilayer Pankreatit; Tanı; Ağırlığıöngörme; Tedavi AbstractAcute biliary pancreatitis is one of the major causes of acute pancreatitis.Gallstones, biliary sludge and microlithiasis, especially in pancreatitis without detectable reason, can be the cause of acute pancreatitis. Acute biliary pancreatitis has many controversions in the literature, and its classification and guidelines are being updated very frequently. Atlanta classifications which determine the definitions and guidelines about acute pancreatitis were renewed and published in 2013. It has various clinical aspects, ranging from a mild form which is easily treated, to a severe form that causes complications leading to mortality. The pathogenesis of this disease has not been fully elucidated and several theories have been suggested. New scoring systems and laboratory methods such as proteomics have been suggested for both diagnosis and to predict disease severity, and research on these topics is still in progress. Novel therapeutic approaches with technological developments such as ERCP, ES, MRCP, and EUS are also suggested.

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Combination of APACHE-II score and an obesity score (APACHE-O) for the prediction of severe acute pancreatitis

Cited by 141 publications

References 36 publications

Practice Guidelines in Acute Pancreatitis

Practice Guidelines in Acute Pancreatitis

Can C-reactive protein levels increase the accuracy of the Ranson score in predicting the severity and prognosis of acute pancreatitis? A prospective cohort study

Contemporary Management of Acute Biliary Pancreatitis

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