Performance of the revised Atlanta and determinant-based classifications for severity in acute pancreatitis

The British Journal of Surgery
S S BansalK J Roberts

Abstract

Severity classification systems aim to stratify patients with acute pancreatitis reliably into coherent risk groups. Recently, the Atlanta 1992 classification has been revised (Atlanta 2012) and a novel determinant-based classification (DBC) system developed. This study assessed the ability of the three systems to stratify disease severity among patients with acute pancreatitis. This was an observational cohort study of patients with acute pancreatitis identified from an institutional database. Cohort characteristics, investigations, interventions and outcomes were identified. Systems were compared using receiver operating characteristic (ROC) analysis and Spearman's correlation coefficients. The in-hospital mortality rate was 6·6 per cent (15 of 228 patients). All of the outcomes considered correlated significantly with the three systems, with the exception of the need for surgery in Atlanta 1992. Atlanta 2012 and the DBC had higher area under the curve (AUC) values than Atlanta 1992 for all outcomes. The revised Atlanta and DBC systems both performed similarly with regard to ICU admission (AUC 0·927 and 0·917 respectively; both P < 0·001), need for percutaneous drainage (AUC 0·879 and 0·891; both P < 0·001), need for surgery ...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
May 11, 2017·World Journal of Gastroenterology : WJG·Zaheer NabiD Nageshwar Reddy
Jun 19, 2019·World Journal of Emergency Surgery : WJES·Ari LeppäniemiFausto Catena
Apr 29, 2021·Arquivos De Gastroenterologia·José Roberto AlvesMarcelo Bianchini Teive
May 15, 2021·Der Radiologe·K F Hoß, U I Attenberger
Aug 30, 2021·Medizinische Klinik, Intensivmedizin und Notfallmedizin·Esra KoçkanElif Yaka

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