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Category: Volume 06 Issue 03 March 2018
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Title: Study of prognostic factors and clinical outcome of Acute Pancreatitis patients with routine investigations in a Teaching Hospital

Authors: Dr M Basavarajappa, Dr Ananth S Mathad

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.08

Abstract

This tertiary care hospital based retrospective study was performed to find out the prognostic factors and clinical outcome of acute pancreatitis from the available clinical, biochemical, haematological and radiological data. A total of 307 cases were studied. Peak incidence was in the fourth decade. Among the known aetiological factors 18% were due to gallstone disease, 10% alcoholism, 4% viral, but 60% were idiopathic. In this study 82% patients were had mild and 18% had severe acute pancreatitis. Overall mortality rate was 6%, mortality was significantly higher (33.33%) in severe acute pancreatitis (33.3% vs 0%). A higher mortality was associated with concomitant medical or surgical diseases, leucocytosis. Other factors associated with a higher mortality were high blood glucose, serum creatinine level and a lower serum albumin and calcium level. This study highlights importance of routine investigations and guides the primary care hospital for early intervention and referral for higher centre.

Keyword: Acute Pancreatitis, Prognosis, Mortality.

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Corresponding Author

Dr Ananth S Mathad

Postgraduate, Dept of General Surgery, SSIMS&RC, Davangere