[Use of base deficit as a prognosis factor for acute pancreatitis].
BACKGROUND
Acute pancreatitis (AP) severe is accompanied by important morbidity and mortality. Tissular hypoperfusion has been suggested as a severity determinant. Base deficit (BD) demonstrated to be a good indicator of hypo-perfusion. We established predictive value in AP.


METHODS
A retrospective, longitudinal, descriptive, and observational study was carried out. We included hospitalized patients from January 1996 to December 2000 with confirmed diagnosis of AP for laboratory, tomography and/or surgery; and with determination of BD on admission. Patients were divided into groups with or without BD and were compared with certain severity and mortality.


RESULTS
We study 104 patients, 40(38%) without BD and 64 (62%) with BD. The mortality belonged to 22 patients (21.2%), all of the group with BD. The BD had a sensibility of 71.4% to predict severity and of 100% for the motility


CONCLUSIONS
BD allows predicting severity and mortality in AP. These points out the role that carried out tissular hip perfusion; in addition, it can serve as guide for appropriate treatment.
Sánchez-Lozada
Raúl
R
Servicio de Cirugía General, Hospital General de México O. D. Secretaría de Salud, Dr. Balmis 148, Col. Doctores, Deleg. Cuauhtémoc, 06726 México, D.F.
Chapa-Azuela
Oscar
O
Gutiérrez-Vega
Rafael
R
Fernández-Hidalgo
Enrique
E
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis*; D010477:Perfusion / Q000379:methods; D011237:Predictive Value of Tests; D011379:Prognosis; D012189:Retrospective Studies