The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Cirúrgica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502008000700023 |
Resumo: | PURPOSE: The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis (ABP) was evaluated. METHODS: The cases seen in a tertiary hospital were studied during two periods of time: 1995-1999 and 2000-2004, i.e., before and after the implementation of medical regulation. RESULTS: Among the 727 patients with acute pancreatitis, 267 had ABP and were classified according to APACHE II scores. The cases being referred to the tertiary hospital decreased from 441 to 286 (p < 0.001). The patients' profile regarding age, gender, severity, cholestasis incidence and mortality were similar during the first and second periods of study (n = 154 and n = 113, respectively). The number of patients with hematocrit > 44% was smaller during the second study period (p<0.002). The use of magnetic resonance cholangiography, videolaparoscopic cholecystectomy, and access to the ICU were found to be more frequent during the second study period. Regarding the deaths occurring within 14 days of hospitalisation, 73.4% and 81.3% were observed during the first and second study periods, respectively. CONCLUSION: Since the improvement in clinical and technological approach was not enough to modify the mortality profile of ABP, further studies on the treatment of inflammatory responses should be carried out. |
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The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitisBiliary PancreatitisAPACHE IIMedical RegulationCholestasisMortalityEmergencyPURPOSE: The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis (ABP) was evaluated. METHODS: The cases seen in a tertiary hospital were studied during two periods of time: 1995-1999 and 2000-2004, i.e., before and after the implementation of medical regulation. RESULTS: Among the 727 patients with acute pancreatitis, 267 had ABP and were classified according to APACHE II scores. The cases being referred to the tertiary hospital decreased from 441 to 286 (p < 0.001). The patients' profile regarding age, gender, severity, cholestasis incidence and mortality were similar during the first and second periods of study (n = 154 and n = 113, respectively). The number of patients with hematocrit > 44% was smaller during the second study period (p<0.002). The use of magnetic resonance cholangiography, videolaparoscopic cholecystectomy, and access to the ICU were found to be more frequent during the second study period. Regarding the deaths occurring within 14 days of hospitalisation, 73.4% and 81.3% were observed during the first and second study periods, respectively. CONCLUSION: Since the improvement in clinical and technological approach was not enough to modify the mortality profile of ABP, further studies on the treatment of inflammatory responses should be carried out.Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia2008-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502008000700023Acta Cirúrgica Brasileira v.23 suppl.1 2008reponame:Acta Cirúrgica Brasileira (Online)instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)instacron:SBDPC10.1590/S0102-86502008000700023info:eu-repo/semantics/openAccessCarvalho,Francisco Ribeiro deSantos,José Sebastião dosElias Junior,JorgeKemp,RafaelSankarankutty,Ajith KumarFukumori,Olívia YumiSouza,Manoel Carlos L. de AzevedoCastro-e-Silva,Orlando deeng2008-05-20T00:00:00Zoai:scielo:S0102-86502008000700023Revistahttps://www.bvs-vet.org.br/vetindex/periodicos/acta-cirurgica-brasileira/https://old.scielo.br/oai/scielo-oai.php||sgolden@terra.com.br0102-86501678-2674opendoar:2008-05-20T00:00Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)false |
dc.title.none.fl_str_mv |
The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis |
title |
The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis |
spellingShingle |
The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis Carvalho,Francisco Ribeiro de Biliary Pancreatitis APACHE II Medical Regulation Cholestasis Mortality Emergency |
title_short |
The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis |
title_full |
The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis |
title_fullStr |
The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis |
title_full_unstemmed |
The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis |
title_sort |
The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis |
author |
Carvalho,Francisco Ribeiro de |
author_facet |
Carvalho,Francisco Ribeiro de Santos,José Sebastião dos Elias Junior,Jorge Kemp,Rafael Sankarankutty,Ajith Kumar Fukumori,Olívia Yumi Souza,Manoel Carlos L. de Azevedo Castro-e-Silva,Orlando de |
author_role |
author |
author2 |
Santos,José Sebastião dos Elias Junior,Jorge Kemp,Rafael Sankarankutty,Ajith Kumar Fukumori,Olívia Yumi Souza,Manoel Carlos L. de Azevedo Castro-e-Silva,Orlando de |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Carvalho,Francisco Ribeiro de Santos,José Sebastião dos Elias Junior,Jorge Kemp,Rafael Sankarankutty,Ajith Kumar Fukumori,Olívia Yumi Souza,Manoel Carlos L. de Azevedo Castro-e-Silva,Orlando de |
dc.subject.por.fl_str_mv |
Biliary Pancreatitis APACHE II Medical Regulation Cholestasis Mortality Emergency |
topic |
Biliary Pancreatitis APACHE II Medical Regulation Cholestasis Mortality Emergency |
description |
PURPOSE: The influence of treatment access regulation and technological resources on the mortality profile of acute biliary pancreatitis (ABP) was evaluated. METHODS: The cases seen in a tertiary hospital were studied during two periods of time: 1995-1999 and 2000-2004, i.e., before and after the implementation of medical regulation. RESULTS: Among the 727 patients with acute pancreatitis, 267 had ABP and were classified according to APACHE II scores. The cases being referred to the tertiary hospital decreased from 441 to 286 (p < 0.001). The patients' profile regarding age, gender, severity, cholestasis incidence and mortality were similar during the first and second periods of study (n = 154 and n = 113, respectively). The number of patients with hematocrit > 44% was smaller during the second study period (p<0.002). The use of magnetic resonance cholangiography, videolaparoscopic cholecystectomy, and access to the ICU were found to be more frequent during the second study period. Regarding the deaths occurring within 14 days of hospitalisation, 73.4% and 81.3% were observed during the first and second study periods, respectively. CONCLUSION: Since the improvement in clinical and technological approach was not enough to modify the mortality profile of ABP, further studies on the treatment of inflammatory responses should be carried out. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502008000700023 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502008000700023 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-86502008000700023 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
dc.source.none.fl_str_mv |
Acta Cirúrgica Brasileira v.23 suppl.1 2008 reponame:Acta Cirúrgica Brasileira (Online) instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC |
instname_str |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) |
instacron_str |
SBDPC |
institution |
SBDPC |
reponame_str |
Acta Cirúrgica Brasileira (Online) |
collection |
Acta Cirúrgica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) |
repository.mail.fl_str_mv |
||sgolden@terra.com.br |
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1752126439492157440 |