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World Journal of Emergency Medicine ›› 2015, Vol. 6 ›› Issue (1): 29-33.doi: 10.5847/wjem.j.1920-8642.2015.01.005

• Original Articles • Previous Articles     Next Articles

Effect of harmless acute pancreatitis score, red cell distribution width and neutrophil/lymphocyte ratio on the mortality of patients with nontraumatic acute pancreatitis at the emergency department

Bedia Gülen1(), Ertan Sonmez1, Serpil Yaylaci2, Mustafa Serinken3, Cenker Eken4, Ali Dur1, Figen Tunali Turkdogan5, Özgür Söğüt1   

  1. 1 Department of Emergency Medicine, Bezmialem Vakif University Medical Faculty, Istanbul, Turkey
    2 Department of Emergency Medicine, Acibadem University Hospital, Istanbul, Turkey
    3 Department of Emergency Medicine, Pamukkale University Medical Faculty, Denizli, Turkey
    4 Department of Emergency Medicine, Akdeniz University Medical Faculty, Antalya, Turkey
    5 Department of Radiology, Bayrampaşa State Hospital, Istanbul, Turkey
  • Received:2014-07-20 Accepted:2015-01-18 Online:2015-03-15 Published:2015-03-15
  • Contact: Bedia Gülen


BACKGROUND: Harmless acute pancreatitis score (HAPS), neutrophile/lymphocyte ratio and red blood cell distribution width (RDW) are used to determine the early prognosis of patients diagnosed with nontraumatic acute pancreatitis in the emergency department (ED).
METHODS: Patients diagnosed with acute pancreatitis (K 85.9) in the ED according to the ICD10 coding during one year were included in the study. Patients with chronic pancreatitis and those who had missing data in their files were excluded from the study. Patients who did not have computed tomography (CT) in the ED were not included in the study.
RESULTS: Ultimately, 322 patients were included in the study. The median age of the patients was 53.1 (IQR=36-64). Of the patients, 68.1% (n=226) had etiological causes of the biliary tract. The mortality rate of these patients within the first 48 hours was 4.3% (n=14). In the logistic regression analysis performed by using Balthazar classification, HAPS score, RDW, neutrophile/lymphocyte ratio, age, diabetes mellitus and systolic blood pressure, the only independent variable in determining mortality was assigned as Balthazar classification (OR: 15; 95% CI: 3.5 to 64.4).
CONCLUSIONS: HAPS, neutrophile/lymphocyte ratio and RDW were not effective in determining the mortality of nontraumatic acute pancreatitis cases within the first 48 hours. The only independent variable for determining the mortality was Balthazar classification.

Key words: Acute pancreatitis, Mortality, Balthazar, Emergency department