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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Main Authors: 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
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2020-05-01
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.
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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
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AT ailobakov comparativeevaluationofscalestodetermineseverityofacutepancreatitis
AT asunin comparativeevaluationofscalestodetermineseverityofacutepancreatitis
AT aaaverin comparativeevaluationofscalestodetermineseverityofacutepancreatitis
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