Early warning score in predicting the severity of acute pancreatitis

Introduction: Acute Pancreatitisis leading causes of morbidity and mortality worldwide. A third of patientsdevelop severe pancreatitis with progressive organ dysfunction caused by systemic inflammatory response syndrome.Early identification of severe pancreatitis is essential for proper care and pr...

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Autores principales:	S Poudyal, YP Singh
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Acute Pancreatitis Revised Atlanta classification Early Warning Score Surgery RD1-811
Acceso en línea:	https://doaj.org/article/7aa2c752789b408fb8508a5357f7794c
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spelling	oai:doaj.org-article:7aa2c752789b408fb8508a5357f7794c2021-12-05T19:16:48ZEarly warning score in predicting the severity of acute pancreatitis10.3126/jssn.v17i1.151761815-39842392-4772https://doaj.org/article/7aa2c752789b408fb8508a5357f7794c2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15176https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Acute Pancreatitisis leading causes of morbidity and mortality worldwide. A third of patientsdevelop severe pancreatitis with progressive organ dysfunction caused by systemic inflammatory response syndrome.Early identification of severe pancreatitis is essential for proper care and preventing complications. Various scoring systems have been developed to determine the severity.An ideal prognostic marker would be that is easily measurable, reproducible and cost effective. Early Warning Score is a simple physiological scoring system that can be reliably measured at the patient’s bedside. This study was aimed to determine the relationship between early warning score and severity of pancreatitis. Methods: Patients admitted with diagnosis of acute pancreatitis were included. Early warning score was calculated four hourly for 72 hours. Modified Marshall Score was determined at admission and at 48 hours. Severity of acute pancreatitis as defined by revised Atlanta Classification. EWS was correlated with severity of AP. EWS≥3 for more than 48 hours were regarded as severe pancreatitis and EWS≥3 at any time was regarded as a predictor of severe pancreatitis. Results: Eighty-six patients were included with 24 (27.9%) with severe pancreatitis. The sensitivity, specificity,positive andnegative predictive valueof EWS≥3 persistent for 48 hours or more in predicting severity were 87.5%, 98.38%, 95.45% and 95.31% respectively. Correlation between EWS and severity of pancreatitis was statistically significant. Conclusion: EWS is useful as an easy and reliable prognostic marker of the evolution and complications of acute pancreatitis. Journal of Society of Surgeons of Nepal Vol.17(1) 2014: 16-20 S PoudyalYP SinghSociety of Surgeons of NepalarticleAcute PancreatitisRevised Atlanta classificationEarly Warning ScoreSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 17, Iss 1 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute Pancreatitis Revised Atlanta classification Early Warning Score Surgery RD1-811
spellingShingle	Acute Pancreatitis Revised Atlanta classification Early Warning Score Surgery RD1-811 S Poudyal YP Singh Early warning score in predicting the severity of acute pancreatitis
description	Introduction: Acute Pancreatitisis leading causes of morbidity and mortality worldwide. A third of patientsdevelop severe pancreatitis with progressive organ dysfunction caused by systemic inflammatory response syndrome.Early identification of severe pancreatitis is essential for proper care and preventing complications. Various scoring systems have been developed to determine the severity.An ideal prognostic marker would be that is easily measurable, reproducible and cost effective. Early Warning Score is a simple physiological scoring system that can be reliably measured at the patient’s bedside. This study was aimed to determine the relationship between early warning score and severity of pancreatitis. Methods: Patients admitted with diagnosis of acute pancreatitis were included. Early warning score was calculated four hourly for 72 hours. Modified Marshall Score was determined at admission and at 48 hours. Severity of acute pancreatitis as defined by revised Atlanta Classification. EWS was correlated with severity of AP. EWS≥3 for more than 48 hours were regarded as severe pancreatitis and EWS≥3 at any time was regarded as a predictor of severe pancreatitis. Results: Eighty-six patients were included with 24 (27.9%) with severe pancreatitis. The sensitivity, specificity,positive andnegative predictive valueof EWS≥3 persistent for 48 hours or more in predicting severity were 87.5%, 98.38%, 95.45% and 95.31% respectively. Correlation between EWS and severity of pancreatitis was statistically significant. Conclusion: EWS is useful as an easy and reliable prognostic marker of the evolution and complications of acute pancreatitis. Journal of Society of Surgeons of Nepal Vol.17(1) 2014: 16-20
format	article
author	S Poudyal YP Singh
author_facet	S Poudyal YP Singh
author_sort	S Poudyal
title	Early warning score in predicting the severity of acute pancreatitis
title_short	Early warning score in predicting the severity of acute pancreatitis
title_full	Early warning score in predicting the severity of acute pancreatitis
title_fullStr	Early warning score in predicting the severity of acute pancreatitis
title_full_unstemmed	Early warning score in predicting the severity of acute pancreatitis
title_sort	early warning score in predicting the severity of acute pancreatitis
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/7aa2c752789b408fb8508a5357f7794c
work_keys_str_mv	AT spoudyal earlywarningscoreinpredictingtheseverityofacutepancreatitis AT ypsingh earlywarningscoreinpredictingtheseverityofacutepancreatitis
_version_	1718371073962016768

Early warning score in predicting the severity of acute pancreatitis

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