Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Möller, P H
Asgeirsson, K S
Sigurjonsson, S V
MetadataShow full item record
CitationEur J Surg 2002, 168(5):278-82
AbstractOBJECTIVE: 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.
DescriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links field
- [Acute pancreatitis. Prospective study of incidence, aetiology, severity, and mortality in Iceland.].
- Authors: Birgisson H, Mœller PH, Birgisson S, Thoroddsen A, Asgeirsson KS, Sigurjónsson SV, Magnússon J
- Issue date: 2004 Mar
- Prognostic usefulness of scoring systems in critically ill patients with severe acute pancreatitis.
- Authors: Williams M, Simms HH
- Issue date: 1999 May
- Comparison of Ranson, APACHE II and APACHE III scoring systems in acute pancreatitis.
- Authors: Chatzicostas C, Roussomoustakaki M, Vlachonikolis IG, Notas G, Mouzas I, Samonakis D, Kouroumalis EA
- Issue date: 2002 Nov
- [Prognosis of acute pancreatitis: Ranson or APACHE II?].
- Authors: Paredes Cotoré JP, Bustamante Montalvo M, Fernández Rodríguez E, Valeiras Domínguez E, Potel Lesquereux J
- Issue date: 1995 Feb
- Acute pancreatitis in intensive care unit patients: value of clinical and radiologic prognosticators at predicting clinical course and outcome.
- Authors: Liu TH, Kwong KL, Tamm EP, Gill BS, Brown SD, Mercer DW
- Issue date: 2003 Apr