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14-04-2021 | Acute Pancreatitis | Original Article

Role of Intra-Abdominal Pressure as a Prognostic Marker and Its Correlation with APACHE II and SOFA Scores in Patients of Acute Pancreatitis

Authors: Arun Kumar Gupta, Ekta Yadav, Nikhil Gupta, Raghav Yelamanchi, Lalit Kumar Bansal, C. K. Durga

Published in: Indian Journal of Surgery | Special Issue 2/2022

Abstract

Intra-abdominal hypertension (IAH) is a known but neglected complication in acute pancreatitis. The present study was conducted to establish the role of intra-abdominal pressure (IAP) as a prognostic marker in patients with acute pancreatitis and also to correlate IAP with APACHE II and SOFA scores. A prospective observational single-center cohort study was conducted on adult patients diagnosed with acute pancreatitis. Intra-abdominal pressure was measured through a transurethral Foley’s bladder catheter. APACHE II and SOFA scores were calculated at the time of admission (day 1). APACHE II score was reevaluated on day 3 and 5. SOFA score was reevaluated everyday till day 5. APACHE II score, SOFA score, and IAP at admission were significantly higher among non survivors when compared to survivors. There was significant correlation of IAP with APACHE II and SOFA scores. APACHE II and SOFA scores at cut-off values of 12 and 6 predicted IAP of > 12 (mm of Hg) with reasonable sensitivity and specificity. IAP could be used as a reliable negative prognostic marker in acute pancreatitis. APACHE II and SOFA scores could be used to predict intra-abdominal hypertension in patients of acute pancreatitis.

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Title: Role of Intra-Abdominal Pressure as a Prognostic Marker and Its Correlation with APACHE II and SOFA Scores in Patients of Acute Pancreatitis
Authors: Arun Kumar Gupta
Ekta Yadav
Nikhil Gupta
Raghav Yelamanchi
Lalit Kumar Bansal
C. K. Durga
Publication date: 14-04-2021
Publisher: Springer India
Keywords: Acute Pancreatitis
Hypertension
Hypertension
Published in: Indian Journal of Surgery / Issue Special Issue 2/2022
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-021-02854-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Role of Intra-Abdominal Pressure as a Prognostic Marker and Its Correlation with APACHE II and SOFA Scores in Patients of Acute Pancreatitis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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