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Waist Circumference Correlates with Disease Severity in Acute Pancreatitis


Franjić, Neven; Poropat, Goran; Mikolašević, Ivana; Štimac, Davor
Waist Circumference Correlates with Disease Severity in Acute Pancreatitis // Pancreatology
Magdeburg, Njemačka: Karger, 2011. str. 177-177 (poster, međunarodna recenzija, sažetak, znanstveni)


Naslov
Waist Circumference Correlates with Disease Severity in Acute Pancreatitis

Autori
Franjić, Neven ; Poropat, Goran ; Mikolašević, Ivana ; Štimac, Davor

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Pancreatology / - : Karger, 2011, 177-177

Skup
43rd European Pancreatic Club

Mjesto i datum
Magdeburg, Njemačka, 22-25.06.2011.

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Acute pancreatitis; Waist circumference; BMI

Sažetak
Introduction: obesity is a well-known factor contributing to the etiology of acute pancreatitis (AP). Objectives: the aim of our study was to determine which obesity parameter correlates best with disease severity. Patients & Methods: in this retrospective study, medical histories of 156 patients with AP (81 men and 75 women, mean age 64, 2 ± 14, 5 years, average APACHE II score 8, 58 ± 4, 07) were analyzed. Body-mass index (BMI), waist circumference, hip circumference and waist- hip ratio were retrieved and their correlation with local, systemic complications and death outcomes were compared using receiver operating characteristic (ROC) curves. Results: among the researched parameters only waist circumference correlated with local, systemic complications and death outcomes. According to ROC curves, the cut- off value of 96 cm had 94.6% sensitivity and 40, 3% specificity value in predicting systemic complications (p = 0, 0018). The cut-off value of 103 cm had 68% sensitivity and 59, 4% specificity value in predicting local complications (p = 0, 0048), while the cut-off value of 100 cm predicted mortality with 80% sensitivity and 42, 5% specificity value (p = 0, 0031). Among other parameters, only waist-hip ratio – local complications ROC curve reached statistical significance ; for cut-off value of 0, 96, sensitivity was 80% and specificity 42, 5% (p = 0, 0101). Conclusion: statistical analysis has shown that in our case BMI was a poor parameter and waist circumference had a better correlation in predicting complications, including death, in patients with AP. However, low specificity is the problem which will impede waist circumference from gaining a more pronounced role in everyday practice.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Projekt / tema
062-0000000-0211 - Učinci enteralne prehrane u teškom akutnom pankreatitisu (Davor Štimac, )

Ustanove
Medicinski fakultet, Rijeka,
Klinički bolnički centar Rijeka

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE