Utility of CT classifications to predict unfavorable outcomes in children with acute pancreatitis

Pediatric Radiology
Yojhan E IzquierdoRafael Guerrero Lozano

Abstract

Computed tomography (CT) is useful for the diagnosis of local complications in children with acute pancreatitis but its role as a prognostic tool remains controversial. To establish the correlation between the CT Severity Index and the Revised Atlanta Classification regarding unfavorable outcomes such as severe acute pancreatitis and need for Pediatric Special Care Unit attention in children with acute pancreatitis. We conducted a retrospective and concordance cohort study in which we obtained abdominal CT scans from 30 patients ages 0 to 18 years with acute pancreatitis. Two pediatric radiologists interpreted the results using the CT Severity Index and the Revised Atlanta Classification. The kappa coefficient was determined for each scale. The association among severe acute pancreatitis, need for admission to the Pediatric Special Care Unit and CT systems were established using chi-square or Mann-Whitney U tests. The best CT Severity Index value to predict the need for admission to the Pediatric Special Care Unit was estimated through a receiver operating characteristic (ROC) curve. Mean CT Severity Index was 5.1±2.8 (mean ± standard deviation on a scale of 0 to 10) for the severe acute pancreatitis group vs. 3.8±2.7 for the m...Continue Reading

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Citations

Feb 13, 2019·Journal of Pediatric Gastroenterology and Nutrition·Tut GalaiAchiya Z Amir
Aug 3, 2020·Journal of Pediatric Gastroenterology and Nutrition·Emily R PeritoSarah Jane Schwarzenberg

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