Effect of harmless acute pancreatitis score, red cell distribution width and neutrophil/lymphocyte ratio on the mortality of patients with nontraumatic acute pancreatitis at the emergency department

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dc.contributor.authorGulen, Bedia
dc.contributor.authorSonmez, Ertan
dc.contributor.authorYaylaci, Serpil
dc.contributor.authorSerinken, Mustafa
dc.contributor.authorEken, Cenker
dc.contributor.authorDur, Ali
dc.contributor.authorTurkdogan, Figen Tunali
dc.contributor.authorSogut, Ozgur
dc.date.accessioned2023-02-21T12:38:55Z
dc.date.available2023-02-21T12:38:55Z
dc.date.issued2015-01-01
dc.description.abstractBACKGROUND: Harmless acute pancreatitis score (HAPS), neutrophile/lymphocyte ratio and red blood cell distribution width (RDW) are used to determine the early prognosis of patients diagnosed with nontraumatic acute pancreatitis in the emergency department (ED). METHODS: Patients diagnosed with acute pancreatitis (K 85.9) in the ED according to the ICD10 coding during one year were included in the study. Patients with chronic pancreatitis and those who had missing data in their files were excluded from the study. Patients who did not have computed tomography (CT) in the ED were not included in the study. RESULTS: Ultimately, 322 patients were included in the study. The median age of the patients was 53.1 (IQR=36-64). Of the patients, 68.1\% (n=226) had etiological causes of the biliary tract. The mortality rate of these patients within the first 48 hours was 4.3\% (n=14). In the logistic regression analysis performed by using Balthazar classification, HAPS score, RDW, neutrophile/lymphocyte ratio, age, diabetes mellitus and systolic blood pressure, the only independent variable in determining mortality was assigned as Balthazar classification (OR: 15
dc.description.abstract95\% CI : 3.5 to 64.4). CONCLUSIONS: HAPS, neutrophile/lymphocyte ratio and RDW were not effective in determining the mortality of nontraumatic acute pancreatitis cases within the first 48 hours. The only independent variable for determining the mortality was Balthazar classification.
dc.description.issue1
dc.description.pages29-33
dc.description.volume6
dc.identifier.doi10.5847/wjem.j.1920-8642.2015.01.005
dc.identifier.urihttps://hdl.handle.net/11443/2445
dc.identifier.urihttp://dx.doi.org/10.5847/wjem.j.1920-8642.2015.01.005
dc.identifier.wosWOS:000382241200005
dc.publisherZHEJIANG UNIV SCH MEDICINE
dc.relation.ispartofWORLD JOURNAL OF EMERGENCY MEDICINE
dc.subjectAcute pancreatitis
dc.subjectMortality
dc.subjectBalthazar
dc.subjectEmergency department
dc.titleEffect of harmless acute pancreatitis score, red cell distribution width and neutrophil/lymphocyte ratio on the mortality of patients with nontraumatic acute pancreatitis at the emergency department
dc.typeArticle
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