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首页> 外文期刊>Pancreatology: official journal of the International Association of Pancreatology (IAP) ... [et al.] >Update of the Atlanta Classification of severity of acute pancreatitis: should a moderate category be included?
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Update of the Atlanta Classification of severity of acute pancreatitis: should a moderate category be included?

机译：亚特兰大急性胰腺炎严重程度分类的更新：是否应包括中度类别？

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摘要

BACKGROUND: Persistent and multiple organ failure (POF and MOF) are predictive of death in acute pancreatitis (AP). Local complications without organ failure are associated with morbidity but a low risk of mortality. AIM: To design a three-category classification of AP severity and to compare it with the Atlanta Classification (AC) in terms of morbidity and mortality. METHOD: Severe AP was defined as death, POF (>48 h) or MOF. Moderate AP was defined as the presence of acute collections and/or pancreatic necrosis. Mild AP was defined by exclusion. We compared this classification with AC in 144 episodes of AP. RESULTS: In the three-category classification, severe AP was associated with significantly more frequent intensive care unit admission, invasive treatment and mortality than moderate and mild AP (p < 0.01). Severe AP patients required longer hospital stay and more nutritional support than mild AP patients (p < 0.01). Patients with moderate AP had significantly longer hospital stay and more need for nutritional support than patients with mild AP (p < 0.01). Five patients died, all of them with MOF and/or POF. CONCLUSIONS: A three-category classification distinguishes three homogeneous groups of severity.
机译：背景：持续性和多器官功能衰竭（POF和MOF）可预测急性胰腺炎（AP）的死亡。没有器官衰竭的局部并发症与发病率有关，但死亡风险低。目的：设计AP严重程度的三类分类，并将其与亚特兰大分类（AC）的发病率和死亡率进行比较。方法：严重AP定义为死亡，POF（> 48小时）或MOF。中度AP被定义为存在急性集合和/或胰腺坏死。轻度AP是通过排除定义的。我们在144例AP中将该分类与AC进行了比较。结果：在三类分类中，重度AP与中重度AP相比，重症监护病房入院，侵入性治疗和死亡率显着更高（p <0.01）。重度AP患者比轻度AP患者需要更长的住院时间和更多的营养支持（p <0.01）。与轻度AP患者相比，中度AP患者的住院时间明显更长，并且需要更多的营养支持（p <0.01）。五例患者死亡，所有患者均患有MOF和/或POF。结论：三类分类区分了严重程度的三个同类组。

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