Índice clínico de gravedad como predictor de mortalidad en pancreatitis aguda de origen biliar

ABSTRACT Introduction: Acute pancreatitis accounts for 15 to 80 annual cases per 100,000 adults, although it does not represent a high mortality rate in our country, establishing mortality predictive severity scales will help to classify serious cases to provide adequate management and reduce mortality in patients with this pathology. Objective: To determine the best clinical scale to predict mortality and severity in acute pancreatitis of biliary origin by bibliographic review. Methodology: This project was a descriptive, qualitative, and documentary type of research, through the bibliographic review for the collection of information through the search engines Scopus, Google Scholar, PubMed Central, Elsevier; A total of 42 references that met the inclusion criteria with a maximum publication of 5 years ago. Discussion: Establishing the severity of acute pancreatitis (AP) during the first hours of management is essential to reduce mortality from this pathology because of severe AP cases has the highest mortality rate. There are different severity and mortality predictor scales, of which the most widely used and well-known are BISAP, modified Marshall, Ranson, and APACHE II. Most of the studies agree that the best mortality predictor scale is the APACHE II scale, however, this is not specific to this pathology, another in which some authors agree is the PANC 3 scale, which is relatively new, and don’t require many parameters for their evaluation, is used quickly in the initial evaluation to determine severity, although not so much mortality. On the other hand, modified Marshall scale is used to assessing organic failure helps to classify Severity, established as the gold standard in the Atlanta consensus and is useful initially and for subsequent reassessment. Conclusion: The PANC 3 or modified Marshall scale is the one that uses fewer parameters and can be used quickly during the initial evaluation, however, there are other scales which should be studied more to assess their usefulness. Keywords: Acute pancreatitis, biliary origin, clinical severity indices, mortality Firmado electrónicamente por: DIANA CAROLINA CHAVEZ GUZMAN Reviewed by: Lcda. Diana Chávez ENGLISH PROFESSOR C.C. 065003795-5

• Hlavní autor: Tamayo Vacacela, Karen Daniela (author)
• Médium: bachelorThesis
• Jazyk: spa
• Vydáno: 2023
• Témata: Pancreatitis aguda; origen biliar; índices clínicos de gravedad; mortalidad
• On-line přístup: http://dspace.unach.edu.ec/handle/51000/11295