The relationship of biochemical parameters and radiological parameters in the evaluation of the clinical severity of acute pancreatitis in the emergency department – a retrospective analysis

• Authors: Fatma Tortum , Erdal Tekin , Fahri Aydın , Emine Özdal , Kübra Tatlısu

Abstracts

EN

Introduction and aim. Computed tomography severity index (CTSI) and Balthazar score are among the most frequently used scorings in the determination of severe acute pancreatitis. The primary purpose of this study is evaluation of the effects of biochemical parameters, Balthazar score and CTSI on mortality in acute pancreatitis. At the same time, correlations with biochemical parameters, CTSI and Balthazar score were evaluated in patients with AP. Material and methods. In this study, the amylase, lipase, CRP, and procalcitonin values of patients diagnosed with acute pancreatitis were retrospectively recorded. Contrast-enhanced computed tomography (CECT) images obtained at the time of presentation to the emergency department or within seven days of admission were re-evaluated by two radiologists. The CTSI scores and Balthazar scores of the patients were calculated. Results. The study included 240 patients. The amylase level of the patients was positively correlated with the Balthazar score at a statistically significant level (R=0.189, p=0.003). In addition, the relationship between pancreatic scoring systems and mortality, the AUC value for CTSI was 0.9 (95% CI: 0.826-0.973) and was higher than other scoring systems. Conclusion. CTSI had better performance in the prediction of mortality in patients with acute pancreatitis.

Keywords

EN

acute pancreatitis; amylase; computed tomography severity index; emergency department; lipase

• Publisher: Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
• Journal: European Journal of Clinical and Experimental Medicine
• Year: 2023
• Issue: 2
• Pages: 277-282

Dates

published

2023

Contributors

author

Fatma Tortum

• Department of Emergency Medicine, Ataturk University School of Medicine, Erzurum, Turkey

author

Erdal Tekin

• Department of Emergency Medicine, Ataturk University School of Medicine, Erzurum, Turkey

author

Fahri Aydın

• Department of Radiology, Ataturk University School of Medicine, Erzurum, Turkey

author

Emine Özdal

• Department of Emergency Medicine, Ataturk University School of Medicine, Erzurum, Turkey

author

Kübra Tatlısu

• Department of Radiology, Ataturk University School of Medicine, Erzurum, Turkey

Identifiers

DOI

10.15584/ejcem.2023.2.12

Biblioteka Nauki

25102374