학술논문
Discharge protocol in acute pancreatitis: an international survey and cohort analysis
Document Type
Original Paper
Author
Nagy, Rita; Ocskay, Klementina; Sipos, Zoltán; Szentesi, Andrea; Vincze, Áron; Czakó, László; Izbéki, Ferenc; Shirinskaya, Natalia V.; Poluektov, Vladimir L.; Zolotov, Alexandr N.; Zhu, Yin; Xia, Liang; He, Wenhua; Sutton, Robert; Szatmary, Peter; Mukherjee, Rajarshi; Burridge, Isobel Saffron; Wauchope, Emma; Francisco, Elsa; Aparicio, David; Pinto, Bruno; Gomes, António; Nunes, Vitor; Tantau, Vasile Marcel; Sagau, Emanuela Denisa; Tantau, Alina Ioana; Suceveanu, Andra Iulia; Tocia, Cristina; Dumitru, Andrei; Pando, Elizabeth; Alberti, Piero; Cirera, Arturo; Molero, Xavier; Lee, Hong Sik; Jung, Min Kyu; Kim, Eui Joo; Lee, Sanghyub; Rebollo, María Lourdes Ruiz; Nistal, Reyes Busta; Santervas, Sandra Izquierdo; Lesko, Dusan; Soltes, Marek; Radonak, Jozef; Zatorski, Hubert; Małecka-Panas, Ewa; Fabisiak, Adam; Yaroslav, M. Susak; Mykhailo, V. Maksymenko; Olekcandr, A. Tkachenko; Barauskas, Giedrius; Simanaitis, Vytautas; Ignatavicius, Povilas; Jinga, Mariana; Balaban, Vasile-Daniel; Patoni, Cristina; Gong, Liang; Song, Kai; Li, Yunlong; Gonçalves, T. Cúrdia; Freitas, Marta; Macedo, Vítor; Vornhuelz, Marlies; Klauss, Sarah; Beyer, Georg; Koksal, Aydin Seref; Tozlu, Mukaddes; Eminler, Ahmet Tarik; Monclús, Nuria Torres; Comas, Eva Pijoan; Oballe, Juan Armando Rodriguez; Nawacki, Łukasz; Głuszek, Stanisław; Rama-Fernández, Alberto; Galego, Marco; de la Iglesia, Daniel; Aykut, Umut Emre; Duman, Deniz Güney; Aslan, Rahmi; Gherbon, Adriana; Deng, Lihui; Huang, Wei; Xia, Qing; Poropat, Goran; Radovan, Anja; Vranić, Luka; Ricci, Claudio; Ingaldi, Carlo; Casadei, Riccardo; Negoi, Ionut; Ciubotaru, Cezar; Iordache, Florin Mihail; Constantinescu, Gabriel; Sandru, Vasile; Altintas, Engin; Balci, Hatice Rizaoglu; Constantino, Júlio; Aveiro, Débora; Pereira, Jorge; Gunay, Suleyman; Misirlioglu Sucan, Seda; Dronov, Oleksiy; Kovalska, Inna; Bush, Nikhil; Rana, Surinder Singh; Chooklin, Serge; Chuklin, Serhii; Saizu, Ionut Adrian; Gheorghe, Cristian; Göltl, Philipp; Hirth, Michael; Mateescu, Radu Bogdan; Papuc, Geanina; Minkov, Georgi Angelov; Enchev, Emil Tihomirov; Mastrangelo, Laura; Jovine, Elio; Chen, Weiwei; Zhu, Quping; Gąsiorowska, Anita; Fabisiak, Natalia; Bezmarevic, Mihailo; Litvin, Andrey; Mottes, Martina Cattani; Choi, Eun Kwang; Bánovčin, Peter; Nosáková, Lenka; Kovacheva-Slavova, Mila Dimitrova; Kchaou, Ali; Tlili, Ahmed; Marino, Marco V.; Kusnierz, Katarzyna; Mickevicius, Artautas; Hollenbach, Marcus; Molcan, Pavol; Ioannidis, Orestis; Tokarev, Mark Valerievich; Ince, Ali Tüzün; Semenenko, Ivan Albertovich; Galeev, Shamil; Ramírez-Maldonado, Elena; Sallinen, Ville; Pencik, Petr; Bajor, Judit; Sarlós, Patricia; Hágendorn, Roland; Gódi, Szilárd; Szabó, Imre; Czimmer, József; Pár, Gabriella; Illés, Anita; Faluhelyi, Nándor; Kanizsai, Péter; Nagy, Tamás; Mikó, Alexandra; Németh, Balázs; Hamvas, József; Bod, Barnabás; Varga, Márta; Török, Imola; Novák, János; Patai, Árpád; Sümegi, János; Góg, Csaba; Papp, Mária; Erőss, Bálint; Váncsa, Szilárd; Teutsch, Brigitta; Márta, Katalin; Hegyi, Péter Jenő; Tornai, Tamás; Lázár, Balázs; Hussein, Tamás; Tarján, Dorottya; Lipp, Mónika; Kovács, Beáta; Urbán, Orsolya; Fürst, Emese; Tari, Edina; Kocsis, Ibolya; Maurovich-Horvát, Pál; Tihanyi, Balázs; Eperjesi, Orsolya; Kormos, Zita; Deák, Pál Ákos; Párniczky, Andrea; Hegyi, Péter
Source
Scientific Reports. 13(1)
Subject
Language
English
ISSN
2045-2322
Abstract
There are several overlapping clinical practice guidelines in acute pancreatitis (AP), however, none of them contains suggestions on patient discharge. The Hungarian Pancreatic Study Group (HPSG) has recently developed a laboratory data and symptom-based discharge protocol which needs to be validated. (1) A survey was conducted involving all members of the International Association of Pancreatology (IAP) to understand the characteristics of international discharge protocols. (2) We investigated the safety and effectiveness of the HPSG-discharge protocol. According to our international survey, 87.5% (49/56) of the centres had no discharge protocol. Patients discharged based on protocols have a significantly shorter median length of hospitalization (LOH) (7 (5;10) days vs. 8 (5;12) days) p < 0.001), and a lower rate of readmission due to recurrent AP episodes (p = 0.005). There was no difference in median discharge CRP level among the international cohorts (p = 0.586). HPSG-protocol resulted in the shortest LOH (6 (5;9) days) and highest median CRP (35.40 (13.78; 68.40) mg/l). Safety was confirmed by the low rate of readmittance (n = 35; 5%). Discharge protocol is necessary in AP. The discharge protocol used in this study is the first clinically proven protocol. Developing and testifying further protocols are needed to better standardize patients’ care.