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Revista de Gastroenterología del Perú
versão impressa ISSN 1022-5129
Resumo
ARROYO-SANCHEZ, Abel Salvador e AGUIRRE-MEJIA, Rosa Yané. Clinical profile and results of acute pancreatitis in the Intensive and Intermediate Care Unit of a general hospital. Rev. gastroenterol. Perú [online]. 2020, vol.40, n.1, pp.36-45. ISSN 1022-5129.
Acute pancreatitis (AP) is an acute inflammatory process of the pancreas that, according to the 2012 Atlanta classification, can be mild, moderate or severe.
Objective:
Describe the epidemiological, clinical, therapeutic and outcomes of patients with AP admitted to the intensive care and intermediate care unit of a general hospital and compare them with those described in the national and international literature.
Materials and methods:
Observational study of patients with AP treated over a period of 3 years.
Results:
59 cases were included; the female sex prevailed (54.2%), the average age was 59.3 years, the most frequent etiology was biliary (84.7%). Average entry severity scores were APACHE II of 12.4 points, SOFA of 4.9 points and Marshall modified of 2.8 points; The most frequent organ failure was respiratory (47.5%). The average stay in care was 13.9 days and in the hospital it was 23.3 days. No patients with mild or moderate AP died during their hospital stay, 6 patients with severe AP died during their hospital stay (20% of cases of severe AP).
Conclusion:
The cases of our hospital had a clinical and therapeutic profile similar to that described in the world and Latin American literature. A hospital staying was greater than that described in recent works, but our mortality was lower.
Palavras-chave : Pancreatitis; Critical care outcomes; Severity of illness index.