Validation of the determinant-based classification for the severity of acute pancreatitis
10.3760/cma.j.issn.1673-4203.2015.03.005
- VernacularTitle:DBC分类在急性胰腺炎严重程度判断中的应用
- Author:
Lei YANG
;
Feng CAO
;
Ang LI
;
Jia LI
;
Yu FANG
;
Xiaohui WANG
;
Fei LI
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Determinant-based classification;
Severity of illness index;
Retrospective studies
- From:
International Journal of Surgery
2015;42(6):373-375
- CountryChina
- Language:Chinese
-
Abstract:
Objective To validate the accuracy of the determinant-based classification (DBC) for the severity of acute pancreatitis (AP).Methods Retrospective analysis the clinical data of 243 patients with acute pancreatitis who admitted to our hospital between January 2012 and December 2013.Length of total parenteral nutrition,length of ICU and hospital stay,operation rate and mortality was assessed,respectively in subgroup of mild,moderate,severe and critical acute pancreatitis according to DBC.Results Pancreatic or peripancreatic necrosis was present in 65 of the patients (26.7％).Transient and persistent organ failures were present in 26 patients (10.7％) and 9 patients (3.7％),respectively.On the basis of the DBC,178 (73.3％),35 (14.4％),21 (8.6％),and 9 (3.7％) patients were determined to have mild,moderate,severe,or critical AP,respectively.The different categories of severity for DBC system were associated with statistically significant and clinically relevant differences in length of total parenteral nutrition,length of ICU and hospital stay,operation rate and mortality.Conclusions The DBC accurately classify the severity of AP in subgroups of patients.
