Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: To evaluate the incidence, aetiology, severity and mortality of patients with acute pancreatitis. DESIGN: Prospective study. SETTING: University hospital, Iceland. PATIENTS AND M...
Published in: | European Journal of Surgery |
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Scandinavian University Press
2008
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Online Access: | http://hdl.handle.net/2336/30454 https://doi.org/10.1002/ejs.46 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/30454 2023-05-15T16:47:30+02:00 Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland Birgisson, H Möller, P H Birgisson, S Thoroddsen, A Asgeirsson, K S Sigurjonsson, S V Magnusson, J Department of Surgery, Landspítali - University Hospital, Reykjavík, Iceland. 2008-06-25 http://hdl.handle.net/2336/30454 https://doi.org/10.1002/ejs.46 en eng Scandinavian University Press http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=7252984&site=ehost-live Eur J Surg 2002, 168(5):278-82 1102-4151 12375609 doi:10.1002/ejs.46 http://hdl.handle.net/2336/30454 European journal of surgery = Acta chirurgica APACHE Acute Disease Adult Aged 80 and over Female Humans Iceland Incidence Length of Stay Male Middle Aged Pancreatitis Prospective Studies Article 2008 ftlandspitaliuni https://doi.org/10.1002/ejs.46 2022-05-29T08:21:09Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: To evaluate the incidence, aetiology, severity and mortality of patients with acute pancreatitis. DESIGN: Prospective study. SETTING: University hospital, Iceland. PATIENTS AND METHODS: All 50 patients diagnosed with acute pancreatitis during the one-year period October 1998-September 1999 inclusive. MAIN OUTCOME MEASURES: APACHE II, and Ranson and Imrie scores, and C-reactive protein (CRP) concentrations. The Balthazar-Ranson criteria were used for scoring of computed tomograms (CT). RESULTS: 27 of the 50 patients were male. The median age of the whole series was 60 years (range 19-85). The estimated incidence was 32/100000 for the first attack of acute pancreatitis. The causes were; gallstones 21 (42%), alcohol 16 (32%), miscellaneous 12 (24%), and idiopathic 1 (2%). 15 (33%) of the patients had APACHE II scores > or = 9, 17 (38%) had Ranson scores of > or = 3, 23 (50%) had Imrie scores of > or = 3, and 16 (34%) had CRP concentrations over 210 mg/L during the first 4 days or > 120 mg/L during the first week. Seven patients had severe pancreatitis. 2 patients in the whole group died, and both had clinically severe pancreatitis. CONCLUSIONS: This study indicates that the incidence of less severe acute pancreatitis is rising. Prospective assessment makes it possible to evaluate the aetiological factors more accurately. Measurement of the CRP concentration is an attractive and simple alternative to the severity scoring systems currently in use. Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive European Journal of Surgery 168 5 278 282 |
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Hirsla - Landspítali University Hospital research archive |
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ftlandspitaliuni |
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English |
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APACHE Acute Disease Adult Aged 80 and over Female Humans Iceland Incidence Length of Stay Male Middle Aged Pancreatitis Prospective Studies |
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APACHE Acute Disease Adult Aged 80 and over Female Humans Iceland Incidence Length of Stay Male Middle Aged Pancreatitis Prospective Studies Birgisson, H Möller, P H Birgisson, S Thoroddsen, A Asgeirsson, K S Sigurjonsson, S V Magnusson, J Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland |
topic_facet |
APACHE Acute Disease Adult Aged 80 and over Female Humans Iceland Incidence Length of Stay Male Middle Aged Pancreatitis Prospective Studies |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: To evaluate the incidence, aetiology, severity and mortality of patients with acute pancreatitis. DESIGN: Prospective study. SETTING: University hospital, Iceland. PATIENTS AND METHODS: All 50 patients diagnosed with acute pancreatitis during the one-year period October 1998-September 1999 inclusive. MAIN OUTCOME MEASURES: APACHE II, and Ranson and Imrie scores, and C-reactive protein (CRP) concentrations. The Balthazar-Ranson criteria were used for scoring of computed tomograms (CT). RESULTS: 27 of the 50 patients were male. The median age of the whole series was 60 years (range 19-85). The estimated incidence was 32/100000 for the first attack of acute pancreatitis. The causes were; gallstones 21 (42%), alcohol 16 (32%), miscellaneous 12 (24%), and idiopathic 1 (2%). 15 (33%) of the patients had APACHE II scores > or = 9, 17 (38%) had Ranson scores of > or = 3, 23 (50%) had Imrie scores of > or = 3, and 16 (34%) had CRP concentrations over 210 mg/L during the first 4 days or > 120 mg/L during the first week. Seven patients had severe pancreatitis. 2 patients in the whole group died, and both had clinically severe pancreatitis. CONCLUSIONS: This study indicates that the incidence of less severe acute pancreatitis is rising. Prospective assessment makes it possible to evaluate the aetiological factors more accurately. Measurement of the CRP concentration is an attractive and simple alternative to the severity scoring systems currently in use. |
author2 |
Department of Surgery, Landspítali - University Hospital, Reykjavík, Iceland. |
format |
Article in Journal/Newspaper |
author |
Birgisson, H Möller, P H Birgisson, S Thoroddsen, A Asgeirsson, K S Sigurjonsson, S V Magnusson, J |
author_facet |
Birgisson, H Möller, P H Birgisson, S Thoroddsen, A Asgeirsson, K S Sigurjonsson, S V Magnusson, J |
author_sort |
Birgisson, H |
title |
Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland |
title_short |
Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland |
title_full |
Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland |
title_fullStr |
Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland |
title_full_unstemmed |
Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland |
title_sort |
acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in iceland |
publisher |
Scandinavian University Press |
publishDate |
2008 |
url |
http://hdl.handle.net/2336/30454 https://doi.org/10.1002/ejs.46 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=7252984&site=ehost-live Eur J Surg 2002, 168(5):278-82 1102-4151 12375609 doi:10.1002/ejs.46 http://hdl.handle.net/2336/30454 European journal of surgery = Acta chirurgica |
op_doi |
https://doi.org/10.1002/ejs.46 |
container_title |
European Journal of Surgery |
container_volume |
168 |
container_issue |
5 |
container_start_page |
278 |
op_container_end_page |
282 |
_version_ |
1766037595102380032 |