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Uncovering supplementary information from questionnaire inquiry on physical ability with the aim to develop psycho-educational intervention: An example of a study using the SF-36 questionnaire among convalescents after acute pancreatitis

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Chmiel I., Górkiewicz M.
Progress in Health Sciences
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2011
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vol. 1
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issue 2
84-95
EN
Purpose: The aim of this paper was to complete a series of our own reports on health-related outcomes of rehabilitation following successful clinical therapy in Poland, based on data from a questionnaire survey using the SF-36 questionnaire, on a group of N = 142 participants hospitalized for acute pancreatitis at General Surgery in the Jagiellonian University of Krakow from 2000 to 2006. Material and methods: The data from the questionnaire survey were used to estimate two auxiliary individual attributes of the survey participants: the predictable ability to accept (PAA) any fixed ordering of scale items; and the inclination to avoid extreme scores (AES). Results: The participants of the study differed significantly with respect to their individual PF AES, and PAA scores, N=48 persons didn’t agree with the standard ordering of PF items of SF-36, N=30 persons agreed with any possible ordering. Conclusions: The findings of this study have some practical worth: first, in case of a need to reveal the patient's true ordering of the questionnaire items, it can be concluded that the persons with a great predictable ability to accept any ordering should be examined once more with some special technique. It seems to be sensible that patients with a quite different inclination to avoid extreme scores need a somewhat distinct style of motivation for healthy behavior.
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The role of erythrocyte distribution width in predicting poor outcomes in geriatric patients with acute pancreatitis

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Şeyma Akça H., Özkan A.
European Journal of Clinical and Experimental Medicine
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2022
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issue 4
417-422
EN
Introduction and aim. In our study, our aim was to evaluate the relationship between red cell distribution width (RDW) values and prognosis in geriatric patients with acute pancreatitis. Material and methods. Patients over the age of 65 and diagnosed with acute pancreatitis who applied to the Emergency Department of Ümraniye Training and Research Hospital between 16.07.2021 and 15.05.2022 were included in our retrospective study. RDW levels were recorded using the hospital data system. Results. Our study included 184 patients, 19 (10.3%) of which died. Sixty-five percent of our patients were women. The mean hospital stay was 5 days (from 3 to 9). A statistically significant relationship was also observed between high RDW and mortality (p=0.006). The diagnostic test performance analyses of CRP, and RDW in predicting mortality revealed that they were statistically significant in predicting mortality, with the AUC value being calculated as 0.66 (0.6061–0.7368) for CRP, with a cut-off value of 22; and 0.69 (0.6909–0.7368) for RDW, with a cut-off value of 14.5 (p=0.019, p=0.006, respectively). Conclusion. Hematological parameters can help predict a prognosis in patients with acute pancreatitis. Although RDW is not statistically more significant than CRP, it can be used as a prognostic marker in patients with acute pancreatitis.
3
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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

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Tortum F., Tekin E., Aydın F., Özdal E., Tatlısu K.
European Journal of Clinical and Experimental Medicine
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2023
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issue 2
277-282
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.
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