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©2009 The WJG Press and Baishideng.
World J Gastroenterol. Feb 14, 2009; 15(6): 717-721
Published online Feb 14, 2009. doi: 10.3748/wjg.15.717
Published online Feb 14, 2009. doi: 10.3748/wjg.15.717
Table 1 Demographic and clinical variables of the whole series
Demographic and clinical variables | Values |
Number of patents | 44 |
Age (years ± SD) | 49 ± 18 |
Gender male | 70.4% (31/44) |
SAP | 70.4% (31/44) |
Presence of necrosis | 49.9% (18/44) |
Extent (percentage) of necrosis | |
< 30% | 38.9% (7/18) |
30%-50% | 11.1% (2/18) |
> 50% | 50.0% (9/18) |
IAH (IAP ≥ 12 mmHg) | 43.2% (19/44) |
ACS (IAP ≥ 20 mmHg + MOF) | 13.6% (6/44) |
Mortality | 13.6% (6/44) |
APACHE II score at admission1 | 6.5 (4.0-10.0) |
Max APACHE II score during hospitalization1 | 8.0 (5.0-11.0) |
Glasgow-Imrie score at admission1 | 3.0 (2.0-3.0) |
Max Glasgow-Imrie score during hospitalization1 | 3.0 (2.0-4.0) |
MODS score at admission1 | 2.0 (1.0-3.0) |
Max MODS score during hospitalization1 | 2.0 (1.0-4.0) |
Table 2 Clinical scores (on admission and max value) in relation to presence of ACS
Clinical scores | ACS group median (lower & upper quartiles) | Non-ACS group median (lower & upper quartiles) | P |
APACHE II score on admission | 12.0 (9.0-1.0) | 6.0 (4.0-9.0) | < 0.01 |
Max APACHE score | 14.0 (11.0-18.0) | 7.0 (4.0-10.0) | < 0.01 |
Glasgow-Imrie score on admission | 5.0 (4.0-5.0) | 2.0 (2.0-3.0) | < 0.01 |
Max Glasgow-Imrie score | 5.0 (4.0-5.0) | 2.5 (1.0-3.0) | < 0.01 |
MODS score on admission | 4.5 (3.0-8.0) | 1.5 (1.0-3.0) | < 0.01 |
Max MODS score | 4.5 (3.0-8.0) | 2.0 (1.0-3.0) | < 0.01 |
Table 3 Clinical characteristics of patients with and without ACS
Clinical characteristics | ACS group (n = 6, %) | Non-ACS group (n = 38, %) | P |
Severe AP | 6 (100) | 25 (65.8) | NS |
Necrotizing AP | 5 (83.3) | 13 (34.2) | < 0.05 |
Necrosis > 30% | 5 (83.3) | 6 (15.8) | < 0.05 |
Deaths | 4 (66.6) | 2 (5.2) | < 0.01 |
Table 4 Areas under the ROC curves for prognostic factors of ACS
Variables | Area | Std. error | Asymptotic sig | Confidence Interval | |
lower | upper | ||||
1st IAP on admission | 0.932 | 0.065 | 0.001 | 0.805 | 1.059 |
Glasgow-Imrie score | 0.921 | 0.054 | 0.001 | 0.816 | 1.026 |
APACHE II score | 0.866 | 0.062 | 0.004 | 0.745 | 0.987 |
MODS score | 0.829 | 0.098 | 0.010 | 0.636 | 1.022 |
Table 5 Cut-off points, sensitivity and specificity for prognostic factors of ACS
Variable | Cut-off | Sensitivity (%) | Specificity (%) |
APACHE II score | > 7 | 100.0 (54.1-100.0) | 60.5 (43.4-75.9) |
Glasgow-Imrie score | > 3 | 83.3 (36.1-97.2) | 86.8 (71.9-95.5) |
MODS score | > 2 | 83.3 (36.1-97.2) | 73.7 (56.9- 86.6) |
1st IAP on admission | > 18 | 83.3 (36.1-97.2) | 100.0 (90.7-100.0) |
- Citation: Dambrauskas Z, Parseliunas A, Gulbinas A, Pundzius J, Barauskas G. Early recognition of abdominal compartment syndrome in patients with acute pancreatitis. World J Gastroenterol 2009; 15(6): 717-721
- URL: https://www.wjgnet.com/1007-9327/full/v15/i6/717.htm
- DOI: https://dx.doi.org/10.3748/wjg.15.717