O PAPEL DA AVALIAÇÃO INICIAL SIMPLIFICADA NO PROGNÓSTICO DA PANCREATITE AGUDA THE ROLE OF SIMPLIFIED INITIAL EVALUATION FOR ACUTE PANCREATITIS PROGNOSIS

ABSTRACTBackground: Our goal was to study if early and simplified clinical and laboratorial evaluation are associated to severity andnecrosis in acute panceatitis (AP). Method: One hundred and sixty four patients, hospitalized at the Clementino Fraga FilhoUniversity Hospital between January 1990 and August 2002 with a AP final diagnosis, were included in this study. The study wasretrospective and included only the first episode of each patient. From the charts we obtained clinical, laboratorial, imaging exams,operations and death data. From these data we established the severity of each case. Statistical analysis used the Variance Ana lysistest of Kruskal-Wallis, completed by the Multiple Comparisons test if the diference was significant. Statistic significance was definedas p 121 mg/dl) to pancreatic necrosis. Conclusions: We concludedthat early and simplified clinical and laboratorial evaluation at admission had a limited but clear role in AP prognosis.Key words : Pancreatitis; Acute disease; Pancreatitis, acute necrotizing; Prognosis.