Utility of modified CT severity index for evaluation of acute pancreatitis and its correlation with clinical outcome: A cross sectional study
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 12
Abstract
Objectives: This study was conducted to assess the prognostic value of MDCT in patients with acute pancreatitis and to correlate the MCTSI with clinical severity and outcome. Material and Methods: A total of 45 patients with acute pancreatitis were included in the study. The radiological and clinical severity of the pancreatitis was scored using MCTSI and BISAP score respectively. Clinical outcome was scored using duration of hospital stay, surgical intervention, infection, end organ failure and death. Results: In this prospective study of 45 patients, Pancreatic inflammation, necrosis and complications were found in 45%, 22%, 40% of patients respectively. MCTSI was classified as moderate (55.55%), severe (37.77%) and mild (6.66%). The mean MCTSI was not significantly high in the subgroup of patients who had infection (p value 0.448), organ failure (p value 0.807) and who underwent surgical intervention (p value 0.807). There was statistically significant correlation found between MCTSI and duration of hospital stay (p value= 0.013) and serum amylase values (p value = 0.007). Conclusion: MCTSI is a very useful tool for the screening of patients with acute Pancreatitis, for the classification of severity accurately and to predict the clinical outcome.
Authors and Affiliations
Dr. Sakshi Chawla, Dr. Abhishek Sharma, Dr. Shailendra Raghuvanshi
Keywords
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