Journal of Cardiovascular Disease Research
Correlation between modified CT severity index and complications of acute pancreatitis in the evaluation of patient outcome
Dr. Pallavi, Dr. Mradula Shetty
JCDR. 2023: 1295-1299
Abstract
A severity index scoring will be helpful for a timely diagnosis and as a prognostic marker. There are several clinical scoring systems for assessing the clinical parameters of acute pancreatitis, both in the adult and pediatric population, each predicting clinical outcome with some statistical significance. Study group consists of 50 patient’s selected using purposive sampling method from patients admitted to Hospital with clinical impression of acute pancreatitis during study period. Patients admitted to Hospital with clinical impression of acute pancreatitis who underwent contrast enhanced computed tomography during study period within five days of admission were included in the study. Our study showed a significant correlation of grades of severity of pancreatitis based on MCTSI with patient outcome parameters including duration of hospital stay, ICU admission, occurrence of organ failure and systemic infection. However MCTSI was more closely associated with patient outcome than CTSI in our study. Majority of the patients (52%) in our study population were classified as severe AP when MCTSI was applied, while majority (54%) where placed in moderate AP when the CTSI was used.
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