The Utility of HAPS for Predicting Prognosis in Acute Pancreatitis

Sayraç, Ali Vefa; Çete, Yıldıray; Yiğit, Özlem; Aydin, Alp; Sayraç, Neslihan

doi:10.5505/tjtes.2017.50794

Cited by 13 publications

(16 citation statements)

References 15 publications

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“…The poor prognosis criteria accepted in previous studies were used in our study. These criteria, death, transfer to the intensive care unit (ICU), and hospitalization period more than 5 days were taken as the poor prognostic indicators [5]. The Statistical Package for the Social Sciences (SPSS 21, Chicago, IL, USA) program was used for the data analysis in the statistical analysis.…”

Section: Methodsmentioning

confidence: 99%

“…The Ranson, Acute Physiology and Chronic Health Evaluation (APACHE) II and III, and the Sequential Organ Failure Assessment (SOFA) scoring systems are some of these [4]. Most of these scoring systems contain the complex and multiple calculation parameters ads is required a long length of hospital stay [5]. Therefore, its use is limited in the emergency department.…”

Section: Introductionmentioning

confidence: 99%

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Use of qSOFA criteria in prediction of poor prognosis in acute pancreatitis

Göktekin¹

2019

Ann Clin Anal Med

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Aim: In this study,we aimed to investigate the usability of SOFA and qSOFA criteria in predicting the conditions by which the poor prognosis such as hospitalization in the intensive care unit, long length of hospital stay and death was observed for the patients receiving a diagnosis of acute pancreatitis in the emergency department. Material and Method: The data of 98 patients with acute pancreatitis diagnosis which was verified by the computerized abdominal tomography in the university hospital emergency department between 2013 and 2018 were used in our study. that was designed as monocenteric retrospective study. The SOFA and qSOFA criteria of the patients were calculated during the application to the emergency department. Results: Fifty-three percent (n=52) of the patients were female. Their age averages were 57.5±18.57/year. Forty-eight (%49.0) patients were detected to have any of the poor prognostic criteria. It was also detected that the qSOFA score of 17 (517.3) patients were 1 and above and the qSOFA score of 81 (582.7) patients was 0 during the application to the emergency department. The SOFA (p<0.001) and qSOFA (p=0.004) values were significantly different for the patients having the good prognosis and poor prognosis. When we take the Cutoff as > 0 for the qSOFA criteria, we determined the AUC as 0.641, Sensitivity as %39.58, Specificity as %86, and CI% as 0.538 to 0.735, and p=0.001, respectively. Discussion: The SOFA and qSOFA criteria used in order to predict the organ failure in the sepsis can be a scoring system that will be able to be used in predicting the poor prognosis in acute pancreatitis in the emergency department.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of qSOFA criteria in prediction of poor prognosis in acute pancreatitis

Göktekin¹

2019

Ann Clin Anal Med

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“…HAP score is considered positive if patients have any of these three criteria. Presence of each of these is awarded a score of 1, thus minimum score is 0 and a maximum score is 3 (Talukdar et al, 2014a;Sayraç et al, 2018). HAP score 0 indicates patients do not require early aggressive treatments and advanced radiological screening during the initial stages of the AP (Sayraç et al, 2018).…”

Section: The Harmless Acute Pancreatitis (Hap) Scorementioning

confidence: 99%

Recent Advances in Diagnosis and Severity Assessment of Acute Pancreatitis

Paul

2020

Prague Med. Rep.

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The incidence and prevalence of acute pancreatitis (AP) is increasing over time. The diagnosis of acute pancreatitis is established by revised Atlanta criteria (2012). Multiple criteria and scoring systems have been used for assessment of severity of AP. Majority of acute pancreatitis cases (80%) are mild, the challenge remains in early diagnosis, severity assessment and treatment of severe AP and its complications. Assessment of severity of AP is important part of management because line of treatment depends on aetiology and severity of acute pancreatitis. In this article a comprehensive review of recent advances in diagnosis and severity assessment of acute pancreatitis has been described.

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“…rebound tenderness and/or guarding, hematocrit and serum creatinine levels was developed as harmless acute pancreatitis score (HAPS). 14,15 HAPS provide a rapid assessment of severity of acute pancreatitis. One of the many advantages of HAPS is that even a non-specialist physician can evaluate the severity of AP with a basic laboratory set up.…”

Section: Introductionmentioning

confidence: 99%

“…One of the many advantages of HAPS is that even a non-specialist physician can evaluate the severity of AP with a basic laboratory set up. [14][15][16][17] Keeping in view the promising role of HAPS in limited resource settings in developing countries like India, the present study was proposed to compare and evaluate HAPS usefulness against acute physiology and chronic health evaluation (APACHE II) for prediction of severity of acute pancreatitis in North Indian patients.…”

Section: Introductionmentioning

confidence: 99%

Comparative assessment of severity and prognosis of acute pancreatitis through APACHE II and HAPS predictor models

et al. 2021

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Background: Acute pancreatitis is one of the leading causes of hospitalization amongst all gastrointestinal disorders with high burden of morbidity and mortality. Predicting the progression of AP in terms of course and outcome to determine suitable management strategy and level of care is challenging. A number of predictor models are developed to predict the severity of acute pancreatitis but they vary in their definitions of severity. HAPS have been proposed as a simple scoring tool for assessment of severity and prognosis of acute pancreatitis. Thus, the aim of present study was to investigate the usefulness of HAPS predictor model against APACHE II model.Methods: Current investigation was a hospital based prospective study conducted on 80 proven cases of acute pancreatitis at K. K. hospital, Uttar Pradesh. The serum amylase and lipase levels of all enrolled patients, were tested and measured at admission, and at 48 and 72 hours post admission. The pancreatitis-specific clinical investigations like; HAPS, APACHE II were calculated and assessed statistically in terms of sensitivity, specificity, positive and negative predictive values and accuracy.Results: The findings of present investigation revealed that amongst the two scoring systems, APACHE II was superior predictor model in terms of sensitivity and specificity for various outcomes like severe acute pancreatitis, hospital stay >7 days and in-hospital mortality. However, HAPS exhibited high specificity for all the outcomes.Conclusions: HAPS can be recommended as a useful tool for early evaluation of acute pancreatitis in patients specifically in primary care settings of developing countries like India.

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The Utility of HAPS for Predicting Prognosis in Acute Pancreatitis

Abstract: HAPS is a simple and useful scoring algorithm to predict the non-severe course of AP in ED. HAPS-0 patients did not require early aggressive treatments and advanced radiological screening tools during the early stages of the disease.

Cited by 13 publications

References 15 publications

Use of qSOFA criteria in prediction of poor prognosis in acute pancreatitis

Use of qSOFA criteria in prediction of poor prognosis in acute pancreatitis

Recent Advances in Diagnosis and Severity Assessment of Acute Pancreatitis

Comparative assessment of severity and prognosis of acute pancreatitis through APACHE II and HAPS predictor models

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