Severity evaluation in acute pancreatitis: the role of SOFA score and general severity scores

Matos, Ricardo; Moreno, Rui P.; Fevereiro, Teresa

doi:10.1186/cc961

Cited by 5 publications

(2 citation statements)

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“…40 Even with its limitations, a study of 49 patients found that generic measures of disease severity like the APACHE II Score were superior to disease-specific scoring systems in predicting mortality. 41 For instance, the Ranson score was found to be a poor predictor of severity in a meta-analysis of 110 studies. 42 The organ failure-based criteria for the prediction of severity in acute pancreatitis are taken, in part, from the modified Multiple Organ Dysfunction Score 43 presented by Banks and colleagues 44 in their revision of the Atlanta Classification.…”

Section: 24mentioning

confidence: 99%

Clinical practice guideline: management of acute pancreatitis

Greenberg¹,

Hsu²,

Bawazeer³

et al. 2016

cjs

324

352

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There has been an increase in the incidence of acute pancreatitis reported worldwide. Despite improvements in access to care, imaging and interventional techniques, acute pancreatitis continues to be associated with significant morbidity and mortality. Despite the availability of clinical practice guidelines for the management of acute pancreatitis, recent studies auditing the clinical management of the condition have shown important areas of noncompliance with evidence-based recommendations. This underscores the importance of creating understandable and implementable recommendations for the diagnosis and management of acute pancreatitis. The purpose of the present guideline is to provide evidence-based recommendations for the management of both mild and severe acute pancreatitis as well as the management of complications of acute pancreatitis and of gall stone-induced pancreatitis.Une hausse de l'incidence de pancréatite aiguë a été constatée à l'échelle mondiale. Malgré l'amélioration de l'accès aux soins et aux techniques d'imagerie et d'intervention, la pancréatite aiguë est toujours associée à une morbidité et une mortalité importantes. Bien qu'il existe des guides de pratique clinique pour la prise en charge de la pancréatite aiguë, des études récentes sur la vérification de la prise en charge clinique de cette affection révèlent des lacunes importantes dans la conformité aux recommandations fondées sur des données probantes. Ces résultats mettent en relief l'importance de formuler des recommandations compréhensibles et applicables pour le diagnostic et la prise en charge de la pancréatite aiguë. La présente ligne directrice vise à fournir des recommandations fondées sur des données probantes pour la prise en charge de la pancréatite aiguë, qu'elle soit bénigne ou grave, ainsi que de ses complications et de celles de la pancréatite causée par un calcul biliaire.A cute pancreatitis can range from a mild, self-limiting disease that requires no more than supportive measures to severe disease with lifethreatening complications. The most common causes of acute pan creatitis are gallstones and binge alcohol consumption.1 There has been an increase in the incidence of acute pancreatitis reported worldwide. Despite improvements in access to care, imaging and interventional techniques, acute pancreatitis continues to be associated with significant morbidity and mortality.A systematic review of clinical practice guidelines for the management of acute pancreatitis revealed 14 guidelines published between 2004 and 2008 alone.2 Although these guidelines have significant overlap in their recommendations for diagnosing and managing acute pancreatitis, there is disagreement in some aspects of both the timing and types of interventions that should be used for both mild and severe acute pancreatitis. The availability of new imaging modalities and noninvasive therapies has also changed clinical practice. Finally, despite the availability of guidelines, recent studies auditing clinical management of acute pancreatitis have sh...

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Section: 24mentioning

confidence: 99%

Clinical practice guideline: management of acute pancreatitis

Greenberg¹,

Hsu²,

Bawazeer³

et al. 2016

cjs

324

352

View full text Add to dashboard Cite

show abstract

“…Of the 11 Ranson criteria, four are directly related to fluid resuscitation (urea, net fluid sequestration, base deficit, and decreased hematocrit) and are independent predictors of mortality (7). In a report of 49 patients with acute pancreatitis, generic measures of disease severity such as the Acute Physiology and Chronic Health Evaluation II or Simplified Acute Physiology Score II score were superior to diseasespecific scoring systems in predicting mortality (8). These scoring systems describe patients in the first 24 -48 hrs after their presentation.…”

Section: Evidencementioning

confidence: 97%

Management of the critically ill patient with severe acute pancreatitis

Nathens

Curtis

Beale

et al. 2004

Critical Care Medicine

299

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This consensus statement provides 23 different recommendations concerning the management of patients with SAP. These recommendations differ in several ways from previous recommendations because of the release of recent data concerning the management of these patients and also because of the focus on the critically ill patient. There are a number of important questions that could not be answered using an evidence-based approach, and areas in need of further research were identified.

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Severity of Illness

Moreno¹

2002

Evaluating Critical Care

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Severity evaluation in acute pancreatitis: the role of SOFA score and general severity scores

Cited by 5 publications

References 0 publications

Clinical practice guideline: management of acute pancreatitis

Clinical practice guideline: management of acute pancreatitis

Management of the critically ill patient with severe acute pancreatitis

Severity of Illness

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