Comparative evaluation of scales to determine severity of acute pancreatitis
The OBJECTIVE of this research was to compare the accuracy and the possibility of applying the most common scales for acute pancreatitis severity evaluation with each other as well as with the suggested scale developed specially for this disease and based on the illness severity coefficient, which i...
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Pavlov First Saint Petersburg State Medical University
2020-05-01
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Series: | Вестник хирургии имени И.И. Грекова |
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Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1317 |
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author | D. Yu. Semyonov A. N. Scherbyuk S. V. Morozov A. I. Lobakov A. S. Unin A. A. Averin A. N. Levitskaya K. N. Levitskaya S. V. Shalamova |
author_facet | D. Yu. Semyonov A. N. Scherbyuk S. V. Morozov A. I. Lobakov A. S. Unin A. A. Averin A. N. Levitskaya K. N. Levitskaya S. V. Shalamova |
author_sort | D. Yu. Semyonov |
collection | DOAJ |
description | The OBJECTIVE of this research was to compare the accuracy and the possibility of applying the most common scales for acute pancreatitis severity evaluation with each other as well as with the suggested scale developed specially for this disease and based on the illness severity coefficient, which is defined by objective quantitative parameters available for every practitioner.METHODS AND METERIALS. We examined the data on 16 parameters for 760 patients suffering from acute pancreatitis, who were treated at the following 3 hospitals.RESULTS. One of the drawbacks of all the examined scales is low sensitivity of scales with high specificity. This feature makes these scales inadequate for making decisions about the therapeutic approach for a patient.CONCLUSION. The suggested way of defining the illness severity is entirely free of subjectivity, does not depend on surgeon's qualification and has high specificity to a concrete problem. It is worth noting that all scales except IDAP use the indicators that are not included in medical-economic standards of Russia. Therefore, the IDAP scale is best suited to address our problem. |
format | Article |
id | doaj-art-82f08c04689548d6b06b68266b7bd0f3 |
institution | Kabale University |
issn | 0042-4625 |
language | Russian |
publishDate | 2020-05-01 |
publisher | Pavlov First Saint Petersburg State Medical University |
record_format | Article |
series | Вестник хирургии имени И.И. Грекова |
spelling | doaj-art-82f08c04689548d6b06b68266b7bd0f32024-11-26T10:43:54ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252020-05-011791313810.24884/0042-4625-2020-179-1-31-381113Comparative evaluation of scales to determine severity of acute pancreatitisD. Yu. Semyonov0A. N. Scherbyuk1S. V. Morozov2A. I. Lobakov3A. S. Unin4A. A. Averin5A. N. Levitskaya6K. N. Levitskaya7S. V. Shalamova8Moscow Regional Research and Clinical Institute («MONIKI»)Moscow Regional Research and Clinical Institute («MONIKI»)Moscow Regional Research and Clinical Institute («MONIKI»)Moscow Regional Research and Clinical Institute («MONIKI»)Moscow Regional Hospital named after Prof. V.N. RozanovaMoscow Regional Hospital named after Prof. V.N. RozanovaMoscow Regional Research and Clinical Institute («MONIKI»)Moscow Regional Research and Clinical Institute («MONIKI»)Moscow Regional Research and Clinical Institute («MONIKI»)The OBJECTIVE of this research was to compare the accuracy and the possibility of applying the most common scales for acute pancreatitis severity evaluation with each other as well as with the suggested scale developed specially for this disease and based on the illness severity coefficient, which is defined by objective quantitative parameters available for every practitioner.METHODS AND METERIALS. We examined the data on 16 parameters for 760 patients suffering from acute pancreatitis, who were treated at the following 3 hospitals.RESULTS. One of the drawbacks of all the examined scales is low sensitivity of scales with high specificity. This feature makes these scales inadequate for making decisions about the therapeutic approach for a patient.CONCLUSION. The suggested way of defining the illness severity is entirely free of subjectivity, does not depend on surgeon's qualification and has high specificity to a concrete problem. It is worth noting that all scales except IDAP use the indicators that are not included in medical-economic standards of Russia. Therefore, the IDAP scale is best suited to address our problem.https://www.vestnik-grekova.ru/jour/article/view/1317quantitative assessmentseverity formulaacute pancreatitisseverity level formulaacute pancreatitis factorscomparison of scales |
spellingShingle | D. Yu. Semyonov A. N. Scherbyuk S. V. Morozov A. I. Lobakov A. S. Unin A. A. Averin A. N. Levitskaya K. N. Levitskaya S. V. Shalamova Comparative evaluation of scales to determine severity of acute pancreatitis Вестник хирургии имени И.И. Грекова quantitative assessment severity formula acute pancreatitis severity level formula acute pancreatitis factors comparison of scales |
title | Comparative evaluation of scales to determine severity of acute pancreatitis |
title_full | Comparative evaluation of scales to determine severity of acute pancreatitis |
title_fullStr | Comparative evaluation of scales to determine severity of acute pancreatitis |
title_full_unstemmed | Comparative evaluation of scales to determine severity of acute pancreatitis |
title_short | Comparative evaluation of scales to determine severity of acute pancreatitis |
title_sort | comparative evaluation of scales to determine severity of acute pancreatitis |
topic | quantitative assessment severity formula acute pancreatitis severity level formula acute pancreatitis factors comparison of scales |
url | https://www.vestnik-grekova.ru/jour/article/view/1317 |
work_keys_str_mv | AT dyusemyonov comparativeevaluationofscalestodetermineseverityofacutepancreatitis AT anscherbyuk comparativeevaluationofscalestodetermineseverityofacutepancreatitis AT svmorozov comparativeevaluationofscalestodetermineseverityofacutepancreatitis AT ailobakov comparativeevaluationofscalestodetermineseverityofacutepancreatitis AT asunin comparativeevaluationofscalestodetermineseverityofacutepancreatitis AT aaaverin comparativeevaluationofscalestodetermineseverityofacutepancreatitis AT anlevitskaya comparativeevaluationofscalestodetermineseverityofacutepancreatitis AT knlevitskaya comparativeevaluationofscalestodetermineseverityofacutepancreatitis AT svshalamova comparativeevaluationofscalestodetermineseverityofacutepancreatitis |