Efectividad de Marshall modificado y clasificación de Atlanta como predictor de morbimortalidad en pacientes con pancreatitis aguda periodo 2020-2023.

Introduction: Acute pancreatitis (AP) can be defined as an acute inflammatory process where the main characteristic is autoaggression by pancreatic enzymes, which can lead to complications and even death. AP shows different stages, and the revised Atlanta consensus is widely used for its classification, which provides significant definitions about the dynamic condition of the pathology and the possibility of evolution of severity throughout the disease, based on the presence or absence of organ failure, using the modified Marshall scoring system. Objective: To evaluate the effectiveness of the modified Marshall scale and the Atlanta classification as a predictor of morbidity and mortality in acute pancreatitis, by analyzing scientific articles published between 2020 and 2023. Methodology: This is a cross-sectional and retrospective research, through a literature review for the selection of information sources using the databases: Dialnet, Google Scholar, Pub Med, and Science Direct, from which sources published in the period 2020-2022 that met the established inclusion criteria were selected. A total of 13 references were obtained for the established period. Discussion: Despite the existence of other BP categorization schemes, the Atlanta classification is the most widely used scheme worldwide, and provides results that correspond to clinical outcomes, evidencing its effectiveness in accurately predicting severity and thus morbidity and mortality. As for the modified Marshall scale, it has been considered the "gold standard" of scales for predicting BP severity, which is why it was selected by the Atlanta consensus to qualify organ failure, which is directly related to morbidity and mortality. Conclusion: Since organ failure is a determinant in the mortality rate due to AP, this variable being the basis of the modified Marshall scale, together with its ease of application, high sensitivity, and specificity, can be considered very effective for predicting morbidity and mortality. As for the revised Atlanta score, it is the most accurate predictor of mortality from AP.

• Autor Principal: Tanicuchi Cangas, Jefferson Alexander (author)
• Outros autores: Veloz Jara, Valeria Estefania (author)
• Formato: bachelorThesis
• Idioma: spa
• Publicado: 2023
• Subjects: Pancreatitis aguda; Predictores de morbimortalidad; Clasificación de Atlanta; Marshall modificado
• Acceso en liña: http://dspace.unach.edu.ec/handle/51000/12100