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- Title
GS28P DOES THE USE OF DEDICATED RANSON'S CRITERIA IMPROVE PATIENT OUTCOME?
- Authors
Chakraborty, J. K.; Jivan, Y.; Subramanya, M. S.; Smith, B.; Memon, B.; Memon, M. A.
- Abstract
Purpose: Early identification of the disease severity in acute pancreatitis and focused management based on Ranson's criteria has shown to improved patients’ outcomes in many trials. We introduced Ranson's criteria at Ipswich Hospital in 2007 and compared the patients’ outcome using historical controls. Methodology: A retrospective chart analysis was undertaken on patients diagnosed with acute pancreatitis at Ipswich Hospital between 2006 and 2007. Ranson's criteria and treatment protocols were introduced in January 2007 and data was collected prospectively. Data was assessed for the length of hospital stay, ICU admission, transfers to tertiary centres, morbidity and mortality. Results: 33 patients were admitted with acute pancreatitis in 2006 compared to 76 patients in 2007. Ranson's criteria were not formally assessed in any patient prior to 2007. However, 88% of patients had Ranson's criteria scored with strict adherence to the treatment protocol since 2007. 13 patients were scored as severe (greater than 3) in 2007 compared to none in 2006. 6% of patients developed pneumonia compared to 14% in 2007. Length of stay was 5.5 days in 2007 versus 4.87 days in 2006. Five ICU admissions and 4 transfers to tertiary centres occurred in 2007 compared to one transfer with no ICU admissions in 2006. There was no mortality in 2006 compared to 2% in 2007. Conclusion: Use of Ranson's criteria enables us to tailor our treatment of acute pancreatitis. It is a clinically useful tool and strict adherence leads to quick severity stratification, improved management and better use of health care resources.
- Subjects
RISK perception; PANCREATITIS diagnosis; TREATMENT programs; PANCREATITIS; PREVENTIVE medicine; PATIENTS
- Publication
ANZ Journal of Surgery, 2009, Vol 79, pA31
- ISSN
1445-1433
- Publication type
Article
- DOI
10.1111/j.1445-2197.2009.04917_28.x