Süleyman Demirel Üniversitesi Hastanesi acil servisine başvuran pankreatit hastalarının demografik verilerinin analizi ve nötrofil/lenfosit oranı ile sonlanımın ilişkisi

Abstract

Purpose: The aim of this study is to investigate the demographic data of the patients diagnosed with acute pancreatitis (AP), find out etiological factors and relation of laboratory data with the outcome in the emergency department. Materials and methods: The data of patients diagnosed with AP in the Emergency Department of Suleyman Demirel University Hospital, between 2013 and 2017 were analyzed retrospectively. The patients' demographics, symptoms, physical examination findings, laboratory and imaging findings were noted. Patients' outcomes were evaluated in terms of hospitalization and in-hospital mortality. Results: Of the 603 patients in the study, 290 (48.1%) were female and 313 (51.9%) were male. The mean age of the patients was 59.49±18.73 years. Hospital applications were mostly in the winter (n=161 [26.7%]) and the least in the spring time (n=143 [23.7%]). Primary etiology of the pancreatitis was biliary. The neutrophil counts of the discharged patients were lower than the patients hospitalized in the ward and intensive care unit. The neutrophil/lymphocyte ratio (NLR) was significantly higher in the patients hospitalized in the intensive care unit or died in the hospital, and the glucose and lactate dehydrogenase values were higher in the patients hospitalized in the intensive care unit. In-hospital mortality was 6.5%. Conclusion: Biliary pancreatitis is the main cause of pancreatitis. Mortality in AP is 6.5%. The admission NLR value is increased significantly in patients who need intensive care and in cases resulting with in-hospital mortality. © 2022, Pamukkale University. All rights reserved.

Purpose: The aim of this study is to investigate the demographic data of the patients diagnosed with acute pancreatitis (AP), find out etiological factors and relation of laboratory data with the outcome in the emergency department. Materials and methods: The data of patients diagnosed with AP in the Emergency Department of Suleyman Demirel University Hospital, between 2013 and 2017 were analyzed retrospectively. The patients' demographics, symptoms, physical examination findings, laboratory and imaging findings were noted. Patients’ outcomes were evaluated in terms of hospitalization and in-hospital mortality. Results: Of the 603 patients in the study, 290 (48.1%) were female and 313 (51.9%) were male. The mean age of the patients was 59.49±18.73 years. Hospital applications were mostly in the winter (n=161 [26.7%]) and the least in the spring time (n=143 [23.7%]). Primary etiology of the pancreatitis was biliary. The neutrophil counts of the discharged patients were lower than the patients hospitalized in the ward and intensive care unit. The neutrophil/lymphocyte ratio (NLR) was significantly higher in the patients hospitalized in the intensive care unit or died in the hospital, and the glucose and lactate dehydrogenase values were higher in the patients hospitalized in the intensive care unit. In-hospital mortality was 6.5%. Conclusion: Biliary pancreatitis is the main cause of pancreatitis. Mortality in AP is 6.5%. The admission NLR value is increased significantly in patients who need intensive care and in cases resulting with in-hospital mortality.