New Atlanta Classification of acute pancreatitis in intensive care unit: Complications and prognosis

European Journal of Internal Medicine
M C PintadoR de Pablo

Abstract

The updated Atlanta Classification of acute pancreatitis (AP) in adults defined three levels of severity according to the presence of local and/or systemic complications and presence and length of organ failure. No study focused on complications and mortality of patients with moderately severe AP admitted to intensive care unit (ICU). The main aim of this study is to describe the complications developed and outcomes of these patients and compare them to those with severe AP. Prospective, observational study. We included patients with acute moderately severe or severe AP admitted in a medical-surgical ICU during 5years. We collected demographic data, admission criteria, pancreatitis etiology, severity of illness, presence of organ failure, local and systemic complications, ICU length of stay, and mortality. Fifty-six patients were included: 12 with moderately severe AP and 44 with severe. All patients developed some kind of complications without differences on complications rate between moderately severe or severe AP. All the patients present non-infectious systemic complications, mainly acute respiratory failure and hemodynamic failure. 82.1% had an infectious complication, mainly non-pancreatic infection (66.7% on moderately s...Continue Reading

References

Feb 1, 1990·Radiology·E J BalthazarJ H Ranson
Oct 1, 1985·Critical Care Medicine·W A KnausJ E Zimmerman
Jun 20, 2002·Critical Care Medicine·Kimmo I HalonenReijo K Haapiainen
Dec 24, 2008·Digestive Diseases and Sciences·Ping XueQing Xia
Oct 22, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Paolo De RaiUNKNOWN ProInf-AISP (Progetto Informatizzato Pancreatite Acuta, Associazione Italiana per lo Studio del Pancreas [Computerized Proje
Oct 27, 2010·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·R PezzilliUNKNOWN Working Group of the Italian Association for the Study of the Pancreas on Acute Pancreatitis
Nov 3, 2010·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·E de-MadariaM Pérez-Mateo
Aug 13, 2011·Scandinavian Journal of Gastroenterology·Thomas OmdalKjell Ovrebo
Aug 31, 2012·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Ratender Kumar SinghSaurabh Saigal
Oct 27, 2012·Gut·Peter A BanksUNKNOWN Acute Pancreatitis Classification Working Group
Mar 12, 2013·Gastroenterology Research and Practice·Davor StimacSandra Milic
May 11, 2013·Critical Care Research and Practice·Polychronis PavlidisMarlies Ostermann
Jun 5, 2013·Cleveland Clinic Journal of Medicine·Todd H Baron, Todd Baron
Nov 26, 2013·The British Journal of Surgery·D W da CostaO J Bakker
Jun 13, 2014·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Tao JinQing Xia
Jul 27, 2014·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Rupjyoti TalukdarD Nageshwar Reddy
Jun 6, 2015·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Qiang GuoWeiming Hu

❮ Previous
Next ❯

Citations

Dec 7, 2017·World Journal of Gastroenterology : WJG·Povilas IgnataviciusZilvinas Dambrauskas
Feb 14, 2019·Irish Journal of Medical Science·Holly J ActonWilliam C Torreggiani
Jul 18, 2020·European Journal of Gastroenterology & Hepatology·Maja Rou Marstrand-JoergensenEvangelos Kalaitzakis
Apr 21, 2020·Gastroenterology Research and Practice·Kexin ZhengXingshun Qi
Apr 29, 2021·Arquivos De Gastroenterologia·José Roberto AlvesMarcelo Bianchini Teive

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.