Ruolo dei punteggi di gravità e dell'insufficienza multipla d'organo nel trattamento della pancreatite acuta severa e della sua complicanza infettiva

Translated title of the contribution: Role of the severity score and of the multiple organ dysfunctions in the treatment of severe acute pancreatitis and its infective complications

Pietro Padaiino, Osvaldo Chiara, Claudia Ravizzini, Maria Paola Gattinoni, Tiberio Canini, Gianguido Montagnolo, Aldo Maria Marini

Research output: Contribution to journalArticle

Abstract

Introdution: There is considerable controversy about timing of surgery in acute pancreatitis. Scoring system is widely used in Intensive Care Units (ICU) but above all in order to assess the severity of disease. Aim of i i ii- s rt nv: In this prospective clinical study, modification of clinical evolution and scores (APACHE.: II, SAPS U atid SOFA) are analyzed. Scores were computed, daily or every other day. Two particular phases were observed: the day of ICU admission and the day of surgical treatment. M •m l kiai and mkthods: Twenty-one patients are studied; they were all surgically treated only after identification of positive pancreatic coltures. Open-packing was performed 2-6 weeks after the beginning of acute pancreatitis. In six patients who died. a progressive deterioration was noticed between admission and identification of infected necrosis. All scores were higher in patients who died. in particular a significant difference was found between SO/A score at admission and at treatment (mean ± SD: 5.0 ± 3.2 vs 8.5 ± 3.0, p <0.05). Conclusion: In conclusion when clinical conditions are critical a hih SO/ A score could contribute to indicate surgical treatment even without identification of sepsis.

Translated title of the contributionRole of the severity score and of the multiple organ dysfunctions in the treatment of severe acute pancreatitis and its infective complications
Original languageItalian
Pages (from-to)239-245
Number of pages7
JournalAnnali Italiani di Chirurgia
Volume76
Issue number3
Publication statusPublished - May 2005

ASJC Scopus subject areas

  • Surgery

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