[Mortality analysis in acute severe pancreatitis using objective assessment of the patient state severity and polyorgan dysfunction].
The dynamics of the state severity changes and polyorgan dysfunction degree were analyzed in patients, who have died as a consequence of severe acute pancreatitis. In patients, operated on later than 14th day after the disease beginning, and not operated, lethality is caused by primary pancreatogenic polyorgan dysfunction with subsequent progressing of their state due to purulent-septic complications occurrence. The state severity and polyorgan dysfunction in patients, operated on in terms up to 6 days, is connected, possibly, with not substantiated operative-anesthesiological aggression. These data witness the possibility of the patients death prevention, while refusal from "early" operations conduction.
V D
VD
Sheĭko
S I
SI
Panasenko
S V
SV
Dolzhkovyĭ
D018806:APACHE; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000209:etiology / Q000401:mortality* / Q000601:surgery; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome