Comparison Between Revised Atlanta Classification and Determinant-Based Classification for Acute Pancreatitis in Intensive Care Medicine. Why Do Not Use a Modified Determinant-Based Classification?

Critical Care Medicine
Felix Zubia-Olaskoagain representation of the Epidemiology of Acute Pancreatitis in Intensive Care Medicine Study Group

Abstract

To compare the classification performance of the Revised Atlanta Classification, the Determinant-Based Classification, and a new modified Determinant-Based Classification according to observed mortality and morbidity. A prospective multicenter observational study conducted in 1-year period. Forty-six international ICUs (Epidemiology of Acute Pancreatitis in Intensive Care Medicine study). Admitted to an ICU with acute pancreatitis and at least one organ failure. Modified Determinant-Based Classification included four categories: In group 1, patients with transient organ failure and without local complications; in group 2, patients with transient organ failure and local complications; in group 3, patients with persistent organ failure and without local complications; and in group 4, patients with persistent organ failure and local complications. A total of 374 patients were included (mortality rate of 28.9%). When modified Determinant-Based Classification was applied, patients in group 1 presented low mortality (2.26%) and morbidity (5.38%), patients in group 2 presented low mortality (6.67%) and high morbidity (60.71%), patients in group 3 presented high mortality (41.46%) and low morbidity (8.33%), and patients in group 4 pres...Continue Reading

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Citations

Jan 25, 2017·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Jun-Ho ChoiSung Koo Lee
Jun 18, 2017·Critical Care Medicine·Wei Huang, John A Windsor
Jun 18, 2017·Critical Care Medicine·Felix Zubia-Olaskoaga
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Mar 21, 2021·Journal of Hepato-biliary-pancreatic Sciences·Yun ZhangTing-Bo Liang
Apr 29, 2021·Arquivos De Gastroenterologia·José Roberto AlvesMarcelo Bianchini Teive
May 7, 2021·Clinical and Translational Gastroenterology·Christopher LangmeadGeorgios I Papachristou

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