dc.contributor | Vall d'Hebron Barcelona Hospital Campus |
dc.contributor.author | Pando Rau, Elizabeth |
dc.contributor.author | Alberti Delgado, Piero Arturo |
dc.contributor.author | Gomez Jurado, Maria Jose |
dc.contributor.author | Vidal Fornells, Laura |
dc.contributor.author | Dopazo Taboada, Cristina |
dc.contributor.author | Gomez Gavara, Concepción |
dc.contributor.author | Caralt Barba, Mireia |
dc.contributor.author | Balsells Valls, Joaquin |
dc.contributor.author | Charco Torra, Ramon |
dc.contributor.author | Mata Mata, Rodrigo José |
dc.contributor.author | Cirera De Tudela, Arturo |
dc.contributor.author | Blanco Cuso, Laia |
dc.date.accessioned | 2021-06-15T12:39:00Z |
dc.date.available | 2021-06-15T12:39:00Z |
dc.date.issued | 2021-03-22 |
dc.identifier.citation | Pando E, Alberti P, Mata R, Gomez MJ, Vidal L, Cirera A, et al. Early Changes in Blood Urea Nitrogen (BUN) Can Predict Mortality in Acute Pancreatitis: Comparative Study between BISAP Score, APACHE-II, and Other Laboratory Markers—A Prospective Observational Study. Can J Gastroenterol Hepatol. 2021 Mar 22;2021:6643595. |
dc.identifier.issn | 2291-2797 |
dc.identifier.uri | https://hdl.handle.net/11351/6076 |
dc.description | Acute Pancreatitis; Mortality prediction |
dc.description.abstract | Background. Changes in BUN have been proposed as a risk factor for complications in acute pancreatitis (AP). Our study aimed to compare changes in BUN versus the Bedside Index for Severity in Acute Pancreatitis (BISAP) score and the Acute Physiology and Chronic Health Evaluation-II score (APACHE-II), as well as other laboratory tests such as haematocrit and its variations over 24 h and C-reactive protein, in order to determine the most accurate test for predicting mortality and severity outcomes in AP. Methods. Clinical data of 410 AP patients, prospectively enrolled for study at our institution, were analyzed. We define AP according to Atlanta classification (AC) 2012. The laboratory test’s predictive accuracy was measured using area-under-the-curve receiver-operating characteristics (AUC) analysis and sensitivity and specificity tests. Results. Rise in BUN was the only score related to mortality on the multivariate analysis (p = 0.000, OR: 12.7; CI 95%: 4.2−16.6). On the comparative analysis of AUC, the rise in BUN was an accurate test in predicting mortality (AUC: 0.842) and persisting multiorgan failure (AUC: 0.828), similar to the BISAP score (AUC: 0.836 and 0.850) and APACHE-II (AUC: 0.756 and 0.741). The BISAP score outperformed both APACHE-II and rise in BUN at 24 hours in predicting severe AP (AUC: 0.873 vs. 0.761 and 0.756, respectively). Conclusion. Rise in BUN at 24 hours is a quick and reliable test in predicting mortality and persisting multiorgan failure in AP patients. |
dc.language.iso | eng |
dc.publisher | Hindawi |
dc.relation.ispartofseries | Canadian Journal of Gastroenterology and Hepatology;2021 |
dc.rights | Attribution 4.0 International |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ |
dc.source | Scientia |
dc.subject | Pancreatitis - Mortalitat |
dc.subject | Sang - Examen |
dc.subject | Prognosi |
dc.subject.mesh | Blood Urea Nitrogen |
dc.subject.mesh | Pancreatitis |
dc.subject.mesh | /mortality |
dc.subject.mesh | Predictive Value of Tests |
dc.title | Early Changes in Blood Urea Nitrogen (BUN) Can Predict Mortality in Acute Pancreatitis: Comparative Study between BISAP Score, APACHE-II, and Other Laboratory Markers—A Prospective Observational Study |
dc.type | info:eu-repo/semantics/article |
dc.identifier.doi | 10.1155/2021/6643595 |
dc.subject.decs | nitrógeno ureico sanguíneo |
dc.subject.decs | pancreatitis |
dc.subject.decs | /mortalidad |
dc.subject.decs | valor predictivo de las pruebas |
dc.relation.publishversion | https://www.hindawi.com/journals/cjgh/2021/6643595/ |
dc.type.version | info:eu-repo/semantics/publishedVersion |
dc.audience | Professionals |
dc.contributor.organismes | Institut Català de la Salut |
dc.contributor.authoraffiliation | Servei de Cirurgia Hepatobiliopancreàtica i Trasplantaments, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain |
dc.identifier.pmid | 33824864 |
dc.identifier.wos | 000637346100001 |
dc.rights.accessrights | info:eu-repo/semantics/openAccess |