Evaluation of laboratory and radiological imaging results in terms of hospitalization and mortality in acute pancreatitis cases

Authors : Burak Akin, Burak Demirci, Abuzer Coşkun

Pages : 423-430

Doi:10.47582/jompac.1347667

View : 77 | Download : 95

Publication Date : 2023-10-27

Article Type : Research Paper

Abstract :AIM: Acute pancreatitis (AP) is a common diagnosis in emergency services and is very important in terms of morbidity and mortality. It was aimed to evaluate the relationship of laboratory and imaging findings of AP cases with hospitalization and mortality outcomes. METHODS: This retrospective study was conducted with 225 cases over the age of 18 who applied to the emergency department between 1 September 2020 and 1 March 2021. Age, gender, laboratory and imaging data of the patients were recorded and evaluated on groups formed according to hospitalization and mortality status. RESULTS: The mean age of 225 acute pancreatitis cases was 54.10±19.07 years, and 116 (51.6%) were female. 169 (75.1%) individuals were hospitalized and seven (3.1%) patients resulted in mortality. Age was associated with mortality (p<0.001). Lipase levels in the mortality group were substantially higher, with 3474.71±3013.69 U/L (p= 0.046). Similarly, elevated urea was found to be related with mortality (p=0.019). On ultrasonography, pancreatic edema was found to be associated with mortality (p=0.012). The presence of intrahapatic bill duct dilatation (p=0.002), pancreatic edema (p=0.045) and peripancreatic fluid (p=0.009) in magnetic resonance cholangiopancreatography (MRCP) was significant at hospitalization. Tomography and MRCP findings did not correlate with mortality. CONCLUSION: Laboratory parameters and imaging findings in the emergency department may be predictive of hospitalization and mortality outcomes in AP.
Keywords : akut pankreatit, acil servis, laboratuvar, görüntüleme yöntemleri, hospitalizasyon, mortalite

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