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10.1097/MD.0000000000000638

http://scihub22266oqcxt.onion/10.1097/MD.0000000000000638
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C4554029!4554029 !25837754
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suck abstract from ncbi


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pmid25837754
      Medicine+(Baltimore) 2015 ; 94 (13 ): e638
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  • Association between severity and the determinant-based classification, Atlanta 2012 and Atlanta 1992, in acute pancreatitis: a clinical retrospective study #MMPMID25837754
  • Chen Y ; Ke L ; Tong Z ; Li W ; Li J
  • Medicine (Baltimore) 2015[Apr]; 94 (13 ): e638 PMID25837754 show ga
  • Recently, the determinant-based classification (DBC) and the Atlanta 2012 have been proposed to provide a basis for study and treatment of acute pancreatitis (AP). The present study aimed to evaluate the association between severity and the DBC, the Atlanta 2012 and the Atlanta 1992, in AP. Patients admitted to our center with AP from January 2007 to July 2013 were reviewed retrospectively. Patients were assigned to severity categories for all the 3 classification systems. The primary outcomes include long-term clinical prognosis (mortality and length-of-hospital stay), major complications (intraabdominal hemorrhage, multiple-organ dysfunction, single organ failure [OF], and sepsis) and clinical interventions (surgical drainage, continuous renal replace therapy [CRRT] lasting time, and mechanical ventilation [MV] lasting time). The classification systems were validated and compared in terms of these abovementioned primary outcomes. A total of 395 patients were enrolled in this retrospective study with an overall 8.86% in-hospital mortality. Intraabdominal hemorrhage was present in 27 (6.84%) of the patients, multiple-organ dysfunction in 73(18.48%), single OF in 67 (16.96%), and sepsis in 73(18.48%). For each classification system, different categories regarding severity were associated with statistically different clinical mortality, major complications, and clinical interventions (P?
  • |*Severity of Illness Index [MESH]
  • |Acute Disease [MESH]
  • |Adult [MESH]
  • |Female [MESH]
  • |Hospital Mortality [MESH]
  • |Humans [MESH]
  • |Length of Stay [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Pancreatitis/*classification/complications/*diagnosis [MESH]
  • |Prognosis [MESH]


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