Pregled bibliografske jedinice broj: 519654
Waist Circumference Correlates with Disease Severity in Acute Pancreatitis
Waist Circumference Correlates with Disease Severity in Acute Pancreatitis // Pancreatology
Magdeburg, Njemačka: Karger Publishers, 2011. str. 177-177 (poster, međunarodna recenzija, sažetak, znanstveni)
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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 Publishers, 2011, 177-177
Skup
43rd European Pancreatic Club
Mjesto i datum
Magdeburg, Njemačka, 22.06.2011. - 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
Projekti:
062-0000000-0211 - Učinci enteralne prehrane u teškom akutnom pankreatitisu (Štimac, Davor, MZOS ) ( CroRIS)
Ustanove:
Medicinski fakultet, Rijeka,
Klinički bolnički centar Rijeka
Citiraj ovu publikaciju:
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