Prognostic accuracy of radiological scoring systems in acute pancreatitis: CTSI vs. mCTSI

Nuri Havan

Makale detayları

Prognostic accuracy of radiological scoring systems in acute pancreatitis: CTSI vs. mCTSI

Yazarlar:

Nuri Havan

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Acil Tıp | Radyoloji ve Organ Görüntüleme

Dergi:

Journal of Medicine and Palliative Care Vol.4 Issue 6, pp.637-641

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001308696

pISSN:

2717-7505

Anahtar kelimeler:

Özet:

 Aims: Acute pancreatitis AP is a complex and unpredictable clinical condition with variable outcomes. Early risk assessment is vital for tailored interventions and improved patient outcomes. The computed tomography severity index CTSI and modified computed tomography severity index mCTSI are radiological scoring systems used to evaluate AP severity. Methods: We conducted a single-center retrospective study spanning from January 1, 2018, to December 31, 2022, to compare CTSI and mCTSI in predicting mortality in AP. Data were retrieved from our institutions electronic records for 266 eligible adult patients. Statistical analysis assessed the relationship between scoring systems, patient demographics, etiology, and mortality. Results: Among the 266 patients, 9.4 died. Mortal patients were older mean age: 72.0915.12 than survivors mean age: 59.9316.93. The most common etiology was biliary pancreatitis 58.64. mCTSI showed significant differences between the mortality and non-mortality groups p0.026, whereas CTSI did not p0.112. The ROC analysis for mCTSI yielded an area under the curve of 0.629, with a Youden index of 0.193 p0.044. A mCTSI cut-off of 3 had a sensitivity of 59.1 and specificity of 60.2. Conclusion: Advanced age and biliary etiology were associated with increased mortality. mCTSI demonstrated superiority in predicting mortality compared to CTSI.

 Aims: Acute pancreatitis AP is a complex and unpredictable clinical condition with variable outcomes. Early risk assessment is vital for tailored interventions and improved patient outcomes. The computed tomography severity index CTSI and modified computed tomography severity index mCTSI are radiological scoring systems used to evaluate AP severity. Methods: We conducted a single-center retrospective study spanning from January 1, 2018, to December 31, 2022, to compare CTSI and mCTSI in predicting mortality in AP. Data were retrieved from our institutions electronic records for 266 eligible adult patients. Statistical analysis assessed the relationship between scoring systems, patient demographics, etiology, and mortality. Results: Among the 266 patients, 9.4 died. Mortal patients were older mean age: 72.0915.12 than survivors mean age: 59.9316.93. The most common etiology was biliary pancreatitis 58.64. mCTSI showed significant differences between the mortality and non-mortality groups p0.026, whereas CTSI did not p0.112. The ROC analysis for mCTSI yielded an area under the curve of 0.629, with a Youden index of 0.193 p0.044. A mCTSI cut-off of 3 had a sensitivity of 59.1 and specificity of 60.2. Conclusion: Advanced age and biliary etiology were associated with increased mortality. mCTSI demonstrated superiority in predicting mortality compared to CTSI.

 Aims: Acute pancreatitis AP is a complex and unpredictable clinical condition with variable outcomes. Early risk assessment is vital for tailored interventions and improved patient outcomes. The computed tomography severity index CTSI and modified computed tomography severity index mCTSI are radiological scoring systems used to evaluate AP severity. Methods: We conducted a single-center retrospective study spanning from January 1, 2018, to December 31, 2022, to compare CTSI and mCTSI in predicting mortality in AP. Data were retrieved from our institutions electronic records for 266 eligible adult patients. Statistical analysis assessed the relationship between scoring systems, patient demographics, etiology, and mortality. Results: Among the 266 patients, 9.4 died. Mortal patients were older mean age: 72.0915.12 than survivors mean age: 59.9316.93. The most common etiology was biliary pancreatitis 58.64. mCTSI showed significant differences between the mortality and non-mortality groups p0.026, whereas CTSI did not p0.112. The ROC analysis for mCTSI yielded an area under the curve of 0.629, with a Youden index of 0.193 p0.044. A mCTSI cut-off of 3 had a sensitivity of 59.1 and specificity of 60.2. Conclusion: Advanced age and biliary etiology were associated with increased mortality. mCTSI demonstrated superiority in predicting mortality compared to CTSI.

 Arka Plan: Akut pankreatit AP, değişken sonuçlar gösteren karmaşık ve öngörülemeyen bir klinik durumdur. Erken risk değerlendirmesi, uyarlanmış müdahaleler ve hastanın sonuçlarının iyileştirilmesi için hayati önem taşır. Bilgisayarlı Tomografi Şiddet İndeksi CTSI ve Modifiye Bilgisayarlı Tomografi Şiddet İndeksi mCTSI, AP şiddetini değerlendirmek için kullanılan radyolojik skorlama sistemleridir. Yöntemler: APde mortaliteyi tahmin etmek için CTSI ve mCTSIyi karşılaştırmak amacıyla 1 Ocak 2018 ile 31 Aralık 2022 tarihleri arasında tek bir merkezde gerçekleştirilen retrospektif bir çalışma yürüttük. Veriler, 266 uygun erişkin hastanın elektronik kayıtlarından alındı. İstatistiksel analiz, skorlama sistemleri, hasta demografileri, etiyoloji ve mortalite arasındaki ilişkiyi değerlendirdi. Bulgular: 266 hastanın arasında 9,4ü hayatını kaybetti. Ölen hastalar ortalama yaş: 72,09  15,12 sağ kalanlardan ortalama yaş: 59,93  16,93 daha yaşlıydı. En yaygın etiyoloji safra pankreatitiydi 58,64. mCTSI, mortalite ve mortalite olmayan gruplar arasında önemli farklar gösterdi P  0,026, ancak CTSI göstermedi P  0,112. mCTSI için ROC analizi, 0,629 alan altında bir eğri sonucu verdi ve bir Youden indeksi 0,193 P  0,044 ile sonuçlandı. mCTSInin 3 olarak belirlenen bir kesme değeri, 59,1 duyarlılığı ve 60,2 özgüllüğüne sahipti. Tartışma: İleri yaş ve safra kaynaklı etiyoloji, artmış mortalite ile ilişkilendirildi. mCTSI, CTSIye göre mortaliteyi tahmin etmede üstünlük gösterdi.

Makale detayları

Prognostic accuracy of radiological scoring systems in acute pancreatitis: CTSI vs. mCTSI

Yazarlar:

Nuri Havan

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Acil Tıp | Radyoloji ve Organ Görüntüleme

Dergi:

Journal of Medicine and Palliative Care Vol.4 Issue 6, pp.637-641

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001308696

pISSN:

2717-7505

Acute pancreatitis

scoring systems

mortalityAkut pankreatit

Skorlama sistemleri

mortalite

Sayı

Makale detayları

Prognostic accuracy of radiological scoring systems in acute pancreatitis: CTSI vs. mCTSI

Yazarlar: Nuri Havan

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Acil Tıp | Radyoloji ve Organ Görüntüleme

Dergi: Journal of Medicine and Palliative Care Vol.4 Issue 6, pp.637-641

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001308696

pISSN: 2717-7505

Acute pancreatitis

scoring systems

mortalityAkut pankreatit

Skorlama sistemleri

mortalite

Sayı

Yazarlar:

Nuri Havan

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Acil Tıp | Radyoloji ve Organ Görüntüleme

Dergi:

Journal of Medicine and Palliative Care Vol.4 Issue 6, pp.637-641

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001308696

pISSN:

2717-7505