The Effects of Predictive Factors on Patient Prognosis in the Administration of Medical and Surgical Treatment in Patients with Acute Pancreatitis

Objective: This study aimed to evaluate the effects of predictive factors on prognosis in medical and surgical treatment practices in patients with acute pancreatitis (AP).
Methods: Demographic data, laboratory parameters, co-morbidities, imaging method results, treatment procedures, Ranson Score (RS) and Balthazar Score (BS) of the patients who were diagnosed with AP and followed up and treated between January 2008 and February 2012 were retrospectively analyzed. The patients were divided into two groups as those who underwent medical and surgical treatment, and the effects of predictive factors were evaluated according to the treatment decisions of the patients and their mortality and morbidity during treatment.
Results: Coronary artery disease (n=31) as a co-morbidity in the medical treatment group was found to be statistically significant compared to the surgery group (n=2) (p=0.018). In the comparison of RS and related pancreatitis severity between both groups; In the comparison of severe or mild treatment choice, it was found statistically significant that the cases who underwent surgical treatment had mild severity. A statistically significant difference was found between late RS and morbidity and mortality (p=0.037). It was found that as BS increased, mortality increased significantly (p=0.008). The length of hospital stay was significantly shorter in patients who received medical treatment (p=0.001).
Conclusion: We found that coronary artery disease and length of hospital stay were more common in medically treated AP patients, and surgically treated patients were mildly severe. Additionally, we found that morbidity and mortality were relaeted with the increase in late RS, and mortality was releated with increase in BS.