Efficacy of the Apache versus Balthazar scales for assessing severity in acute pancreatitis
DOI:
https://doi.org/10.55204/trc.v3i1.e130Keywords:
APACHE, Balthazar, efficacy, pancreatitis, disease severity indexAbstract
Acute pancreatitis is one of the most common diseases of the gastrointestinal tract, it is characterized by an acute inflammation of the exocrine pancreas, it is associated with a lesion of the acinar cells giving rise to both a local and systemic inflammatory response. It is considered a common indication for hospital admission, and there is currently an increasing incidence even in children, the elderly and pregnant women. General objective: To describe the efficacy of the APACHE and Balthazar scales to assess the severity of acute pancreatitis. Methodology: A systematic review of the main biomedical sources and databases was carried out. The most relevant articles published in the last 5 years (from 2017 to present) were included. The search was performed in English mainly because it is the vehicular language in the medical field, as well as in Spanish. Results: 11 scientific articles were described in which details about these two scales APACHE and Balthazar were described efficacy was assessed from the area under the ROC curve, Kappa, P-value being these the most important. Conclusions: The APACHE and Balthazar scoring scales possess a similarity in terms of efficacy that have been analyzed in the different studies. These scales have a high specificity and sensitivity and are very useful to accurately identify the severity of the disease and even facilitate the implementation of appropriate clinical treatments.
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Szatmary, P, Cai W, Huang W, Mukherjee R, Halloran C, Beyer G, Sutton. Acute Pancreatitis: Diagnosis and Treatment. Drugs. 2022; 82: 1251-76. DOI: 10.1007/s40265-022-01766-4.
Maderos M, Reber H, Girgis M, Acute Pancreatitis: Review. JAMA. 2021; 325(4): 382-90. DOI:10.1001/jama.2020.20317.
Lee P, Papachristou, G. New insights into acute pancreatitis. Nat Rev Gastroenterol Hepatol. 2019; 16: 479-96. DOI: 10.1038/s41575-019-0158-2.
López -Diaz M. Cabrera-Bernal H, Viteri-Rojas A, Reyes-Prieto M. Pancreatitis aguda en pacientes con litiasis biliar ingresados en el hospital Martín Icaza. Reciamuc. 2022: 64-71. DOI: https://doi.org/10.26820/reciamuc/6.(1).enero.2022.64-71.
Shan A, Mourad M, Bramhall S. Acute pancreatitis: current perspectives on diagnosis and management. J Inflamm Res. 2018;11:77-85. DOI: 10.2147/JIR.S135751.
Pérez F, Arauz Valdes E. Pancreatitis Aguda:Artículo de Revisión. Rev méd cient. 2020; 33: 67-88. DOI: https://doi.org/10.37416/rmc.v33i1.570.
Guyot A, Lequeu J, Dransart O, Chevallier O, Nguyen M, et al. Management of acute pancreatitis. A literature review. La Revue de Médecine Interne. 2021; 42(9): 625-32. DOI: 10.1016/j.revmed.2021.01.003.
Ashraf H, Colombo JP, Marcucci V, Rhoton J, Olowoyo O. A Clinical Overview of Acute and Chronic Pancreatitis: The Medical and Surgical Management. Cureus. 2021;13(11): e19764. DOI: 10.7759/cureus.19764.
Swaroop S, Whitcomb D, Grover S. Predicting the severity of acute pancreatitis. UpToDate. 2022.
Windisch O, et al. Pancréatite aiguë : quelles nouveautés dans la prise en charge ?. Rev Med Suisse. 2017; 3 (567): 1240–1246. DOI: 10.53738/REVMED.2017.13.567.1240.
Garber A, Frakes C, Arora Z, Chahal P. Mechanisms and Management of Acute Pancreatitis. Gastroenterology Research and Practice. 2018; 1-8. DOI: https://doi.org/10.1155/2018/6218798.
Pilamunga-Lema C, Villafuerte-Morales J. Diagnóstico y Tratamiento de Pancreatitis Aguda. Revisión Bibliográfica. ESPOCH Congresses: The Ecuadorian Journal of S.T.E.A.M. 2021; 1(6): 44-55. DOI: 10.18502/espoch.v1i6.9638.
Lee D. Cho C. Predicting Severity of Acute Pancreatitis. Medicina. 2022; 58(6):787. DOI: 10.3390/medicina58060787.
Gapp J, Tariq A, Chandra S. Acute Pancreatitis. [Updated 2022 Nov 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
Patel P, Gupta S, Patel H, Bashar MA. Assessment of APACHE II Score to Predict ICU Outcomes of Patients with AKI: A Single-center Experience from Haryana, North India. Indian J Crit Care Med. 2022;26(3):276-281. doi:10.5005/jp-journals-10071-24142
Li Y, Zhang J, Zou J. Evaluation of four scoring systems in prognostication of acute pancreatitis for elderly patients. BMC Gastroenterol. 2020;20(1):165. DOI: 10.1186/s12876-020-01318-8.
Akavipat P, Thinkhamrop J, Thinkhamrop B, Sriraj W. Acute physiology and chronic health evaluation (APACHE) II score - the clinical predictor in neurosurgical intensive care unit. Acta Clin Croat. 2019;58(1):50-56. DOI: 10.20471/acc.2019.58.01.07.
Chatterjee R, Parab N, Sajjan B, Nagar VS. Comparison of Acute Physiology and Chronic Health Evaluation II, Modified Computed Tomography Severity Index, and Bedside Index for Severity in Acute Pancreatitis Score in Predicting the Severity of Acute Pancreatitis. Indian J Crit Care Med. 2020;24(2):99-103. DOI: 10.5005/jp-journals-10071-23343.
Gezer N, Bengi G, Baran A, Ermen P, Topalak Ö, Altay C, et al. Comparison of radiological scoring systems, clinical scores, neutrophil-lymphocyte ratio and serum C-reactive protein level for severity and mortality in acute pancreatitis.
Satiş H, Kayahan N, Sargin ZG, Karataş A, Çeliker D. Evaluation of the clinical course and prognostic indices of acute pancreatitis in elderly patients: a prospective study. Acta Gastroenterol Belg. 2020; 83(3):413-17.
Zhao L, Ma Y, Li Q, Wang Y. Ulinastatin combined with glutamine improves liver function and inflammatory response in patients with severe acute pancreatitis. Am J Transl Res. 2022;14(2):918-26.
Han T, Cheng T, Liao Y, He Y, Liu B, Lai Q, Pan P, Liu J, Lei C, Cao Y. Development and Validation of a Novel Prognostic Score Based on Thrombotic and Inflammatory Biomarkers for Predicting 28-Day Adverse Outcomes in Patients with Acute Pancreatitis. J Inflamm Res. 2022; 15:395-408. DOI: 10.2147/JIR.S344446.
Tu J, Yang Y, Zhang J, Yang Q, Lu G, Li B, Tong Z, Ke L, Li W, Li J. Effect of the disease severity on the risk of developing new-onset diabetes after acute pancreatitis. Medicine (Baltimore). 2018;97(22):e10713. DOI: 10.1097/MD.0000000000010713.
Yadav SC, Zhang B. Effect of Early Continuous Veno-Venous Haemofiltration in Severe Acute Pancreatitis for the Prevention of Local Pancreatic Complications. Gastroenterol Res Pract. 2022 Mar 7;2022:7575231. DOI: 10.1155/2022/7575231.
Cheng T, Han TY, Liu BF, Pan P, Lai Q, Yu H, Cao Y. Use of Modified Balthazar Grades for the Early Prediction of Acute Pancreatitis Severity in the Emergency Department. Int J Gen Med. 2022;15:1111-19. DOI: 10.2147/IJGM.S350383
Londoño-Ruiz G, Ramírez-Giraldo C, Vesga-Rosas A, Vargas-Barato F. Prediction of severe pancreatitis in a population with low atmospheric oxygen pressure. Nature portfolio. 2022; 12: 19518. DOI: 10.1038/s41598-022-21789-x.
Wang H, Xu Y, Yang M, Zheng D, Chen L. Systematic review and meta-analysis of the safety and effectiveness of low molecular heparin for severe acute pancreatitis. Ann Palliat Med. 2021;10(11):11695-704. DOI: https://dx.doi.org/10.21037/apm-21-305
Li, Weiran MD; Luo, Dr. Shuanghong; Zhu, Yu MD; Shu, Min MD; Wen, Yang MD; Wang, Zhiling MD; Wan, Chaomin MD, doctorado. Concordance of the Balthazar Grade and the Revised Atlanta Classification Proposing a Modified Balthazar Grade to Predict the Severity of Acute Pancreatitis in Pediatric Population. Páncreas. 2018; 47 (10): 1312-16. DOI: DOI: 10.1097/MPA.0000000000001166.
Cheng T, Han TY, Liu BF, Pan P, Lai Q, Yu H, Cao Y. Use of Modified Balthazar Grades for the Early Prediction of Acute Pancreatitis Severity in the Emergency Department. Int J Gen Med. 2022;15:1111-19. DOI: 10.2147/IJGM.S350383.
Konur S, Sürmeli N, Gündüz I, Iliklerden Ü, Dertili R, Kayar Y. Course of acute pancreatitis in the elderly evaluated with computed tomography scan. Turkish Journal of geriatrics. 2020; 23(3): 326-33. DOI: 10.31086/tjgeri.2020.1692020; 23(3): 326-333.
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