Alonso Eva Maria, Presenter: Nothing to Disclose

Maria Mar Perez-Pena, Abstract Co-Author: Nothing to Disclose

Francisco Cuesta, Abstract Co-Author: Nothing to Disclose

A prospective study to analyse the prediction of mortality and poorer prognosis in patients with acute pancreatitis.

313 patients with acute pancreatitis were reviewed from 1990-2001, and divided into mild 252 (81%) and severe 61(19%) groups based on the Atlanta classification. We evaluated severity according to Ranson´s criteria and Apache II score, CT classification (Balthazar index, Hill, Van Kemmell´s classification, intraoperative findings). We performed a univariant and multivariant statistic study with lineal discriminant analysis.

Overall mortality 17/313 (5,43%). Surgical treatment 33/313 (10,54%);pulmonary insufficiency 39/313,(63,9%);sepsis 48/313, (78,7%);shock 29/313,(47,5%)and renal failure 37/313, (60,7%). Gender, age, body mass index, etiology, Ranson´s score and Apache II did not correlate with mortality. Hill´s and Balthazar´s classification did not reach significance either. Only the Van Kemmel´s classification and the number of organs failure had statistic value (p 8, Balthazar´s index =>4, grades IV, V in Hill´s classification and 4 organ failure had a predictive value for mortality.

The Van Kemmel´s classification and the number of organ failure had a predictive value for mortality. Balthazar´s index =>4, grades IV-V in Hill´s classification and 4 organs failure disclosed poor prognosis.

Eva Maria, A, Perez-Pena, M, Cuesta, F, Prognostic Value of Computed Tomography in Acute Pancreatitis: A Uni-multivariate Analysis.  Radiological Society of North America 2005 Scientific Assembly and Annual Meeting, November 27 - December 2, 2005 ,Chicago IL. http://archive.rsna.org/2005/4418006.html