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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Dr Ananth S Mathad

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