title: Effect of harmless acute pancreatitis score, red cell distribution width and neutrophil/lymphocyte ratio on the mortality of patients with nontraumatic acute pancreatitis at the emergency department.
abstract: BACKGROUND
  Harmless acute pancreatitis score (HAPS), neutrophile/lymphocyte ratio and red blood cell distribution width (RDW) are used to determine the early prognosis of patients diagnosed with nontraumatic acute pancreatitis in the emergency department (ED).
  
  
  METHODS
  Patients diagnosed with acute pancreatitis (K 85.9) in the ED according to the ICD10 coding during one year were included in the study. Patients with chronic pancreatitis and those who had missing data in their files were excluded from the study. Patients who did not have computed tomography (CT) in the ED were not included in the study.
  
  
  RESULTS
  Ultimately, 322 patients were included in the study. The median age of the patients was 53.1 (IQR=36-64). Of the patients, 68.1% (n=226) had etiological causes of the biliary tract. The mortality rate of these patients within the first 48 hours was 4.3% (n=14). In the logistic regression analysis performed by using Balthazar classification, HAPS score, RDW, neutrophile/lymphocyte ratio, age, diabetes mellitus and systolic blood pressure, the only independent variable in determining mortality was assigned as Balthazar classification (OR: 15; 95% CI: 3.5 to 64.4).
  
  
  CONCLUSIONS
  HAPS, neutrophile/lymphocyte ratio and RDW were not effective in determining the mortality of nontraumatic acute pancreatitis cases within the first 48 hours. The only independent variable for determining the mortality was Balthazar classification.
authors: Department of Emergency Medicine, Bezmialem Vakif University Medical Faculty, Istanbul, Turkey.
authors: Bedia
authors: B
authors: Gülen
authors: Department of Emergency Medicine, Bezmialem Vakif University Medical Faculty, Istanbul, Turkey.
authors: Ertan
authors: E
authors: Sonmez
authors: Department of Emergency Medicine, Acibadem University Hospital, Istanbul, Turkey.
authors: Serpil
authors: S
authors: Yaylaci
authors: Department of Emergency Medicine, Pamukkale University Medical Faculty, Denizli, Turkey.
authors: Mustafa
authors: M
authors: Serinken
authors: Department of Emergency Medicine, Akdeniz University Medical Faculty, Antalya, Turkey.
authors: Cenker
authors: C
authors: Eken
authors: Department of Emergency Medicine, Bezmialem Vakif University Medical Faculty, Istanbul, Turkey.
authors: Ali
authors: A
authors: Dur
authors: Department of Radiology, Bayrampaşa State Hospital, Istanbul, Turkey.
authors: Figen Tunali
authors: FT
authors: Turkdogan
authors: Department of Emergency Medicine, Bezmialem Vakif University Medical Faculty, Istanbul, Turkey.
authors: Özgür
authors: Ö
authors: Söğüt
keywords: Acute pancreatitis; Balthazar; Emergency department; Mortality