Eficacia de las escalas PANC3, MARSHALL modificado, APACHE II y BISAP en el pronóstico de pancreatitis aguda en el Hospital Victor Lazarte Echegaray
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Date
2024-08-05
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Universidad Nacional de Trujillo
Abstract
La pancreatitis aguda, a nivel mundial en una patología más común en los hospitales, con requerimiento alto de ingreso a hospitalización, con una incidencia de veinte y ocho casos por cada cien mil habitantes a nivel mundial, además observándose con una mortalidad entre 4 - 5 % en casos de pancreatitis leve y entre 30 - 50 % para casos de pancreatitis grave. Es por ello que es importante la identificación de temprana de posibles complicaciones en estos pacientes. Por lo que, se plantea que, mediante los scores pronósticos, y valorando cuál de estos presenta mayor eficacia diagnostica, podrías dar un tratamiento oportuno previniendo complicaciones y además estancias hospitalarias prolongadas. Asimismo, al realizar una comparación en conjunto - esta comparación no existe hasta el momento - este nos demostraría cuál de los scores estudiados, presentara mayor eficacia para presagiar el curso de pancreatitis aguda.
Objetivo: Valorar eficacia pronóstica de las escalas PANC 3, Marshall modificado, Apache II y Bisap en pancreatitis aguda en los pacientes de 18 a 60 años de edad.
Método: Se realizará un estudio de investigación analítico-observacional, con el diseño de pruebas diagnósticas. Se tomará a pacientes con diagnostico de pancreatitis aguda según criterio de Atlanta, se tomará como medida control la tomografía axial computarizada para complicaciones locales y para complicaciones sistémicas se evaluará la presencia de falla orgánica. Luego se analizará los datos obtenidos para concluir que score presento mayor eficacia tanto para complicaciones locales y sistémicas
Abstract Acute pancreatitis is a more common pathology in hospitals worldwide, requiring a high level of hospitalization, with an incidence of twenty-eight cases per hundred thousand inhabitants worldwide, and a mortality rate of between 4-5% in cases of mild pancreatitis and between 30-50% in cases of severe pancreatitis. This is why early identification of possible complications in these patients is important. Therefore, it is suggested that, through prognostic scores, and assessing which of these has the greatest diagnostic efficacy, timely treatment could be given, preventing complications and also prolonged hospital stays. Likewise, by making a joint comparison - this comparison does not exist at the moment - this would show us which of the scores studied would be most effective in predicting the course of acute pancreatitis. Objective: To assess the prognostic efficacy of the PANC 3, modified Marshall, Apache II and Bisap scales in acute pancreatitis in patients aged 18 to 60 years. Method: An analytical-observational research study will be carried out, with the design of diagnostic tests. Patients with a diagnosis of acute pancreatitis according to the Atlanta criteria will be taken, computerized axial tomography will be used as a control measure for local complications and for systemic complications the presence of organic failure will be evaluated. The data obtained will then be analyzed to conclude which score presented greater efficacy for both local and systemic complications.
Abstract Acute pancreatitis is a more common pathology in hospitals worldwide, requiring a high level of hospitalization, with an incidence of twenty-eight cases per hundred thousand inhabitants worldwide, and a mortality rate of between 4-5% in cases of mild pancreatitis and between 30-50% in cases of severe pancreatitis. This is why early identification of possible complications in these patients is important. Therefore, it is suggested that, through prognostic scores, and assessing which of these has the greatest diagnostic efficacy, timely treatment could be given, preventing complications and also prolonged hospital stays. Likewise, by making a joint comparison - this comparison does not exist at the moment - this would show us which of the scores studied would be most effective in predicting the course of acute pancreatitis. Objective: To assess the prognostic efficacy of the PANC 3, modified Marshall, Apache II and Bisap scales in acute pancreatitis in patients aged 18 to 60 years. Method: An analytical-observational research study will be carried out, with the design of diagnostic tests. Patients with a diagnosis of acute pancreatitis according to the Atlanta criteria will be taken, computerized axial tomography will be used as a control measure for local complications and for systemic complications the presence of organic failure will be evaluated. The data obtained will then be analyzed to conclude which score presented greater efficacy for both local and systemic complications.
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Keywords
Pancreatitis Aguda, Score PANC3, Score MARSHALL modificado, Score APACHE II