A Akhmetov, T Bulegenov, M Aimagambetov, N Omarov, A Dyusupov, A Baybussinova, A Masalov, S Abdrakhmanov, M Ayenov
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引用次数: 0
Abstract
Introduction: Acute pancreatitis (AP) is one of the most common emergency pathologies of the abdominal organs. AP has a negative impact on the performance and quality of life of patients, determining the medical and social significance of the problem.
Purpose of the study: To study the state of inpatient medical care for patients with acute pancreatitis.
Study design: Retrospective cross-sectional study.
Materials and methods: A retrospective analysis of 333 medical records of inpatients with AP treated in the surgical department of the University Hospital of Semey Medical University in the period from 2019 to 2021 was carried out. To determine the medical and social factors influencing the results of treatment of AP, a copy card from the medical record of an inpatient was developed. Statistical analysis was performed using SPSS software version 20.0, and the results were considered statistically significant when p<0.05.
Results: Among inpatients with AP, women predominated (52.6%), pensioners-40.8%, unemployed-26.1%. Most patients were admitted to the hospital after 1 day (85.0%), with moderate severity of the condition (88.3%). The main reason for the development of AP was errors in diet (91.3%). Acute edematous pancreatitis was detected in 91.9%, various forms of pancreatic necrosis-8.7% of patients. The structure of concomitant diseases was dominated by cholelithiasis-42.6%; gastritis with DGR-45.0%. In most cases (93.1%) conservative treatment was carried out with good effectiveness. Surgical activity-6.9%. Complications developed in 4.5% of cases with a predominance of multiple organ failure. The mortality rate was 4.2%.
Conclusions: Late hospitalization from the onset of the disease(p=0.001), the severity of the patient's condition upon admission(p=0.001), surgical interventions(p=0.0001), and the development of multiple organ failure(p=0.0001) significantly increases the duration of hospital treatment, negatively affect the outcome of the disease.
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