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Pregled bibliografske jedinice broj: 519654

Zbornik radova

Autori: Franjić, Neven; Poropat, Goran; Mikolašević, Ivana; Štimac, Davor
Naslov: Waist Circumference Correlates with Disease Severity in Acute Pancreatitis
Izvornik: PancreatologyKarger , 2011. 177-177.
ISSN: 1424-3903
Skup: 43rd European Pancreatic Club
Mjesto i datum: Magdeburg, Njemačka, 22-25.06.2011.
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.
Rad je indeksiran u
bazama podataka:
Current Contents Connect (CCC)
MEDLINE
Scopus
SCI-EXP, SSCI i/ili A&HCI
Science Citation Index Expanded (SCI-EXP) (sastavni dio Web of Science Core Collectiona)
Vrsta sudjelovanja: Poster
Vrsta prezentacije u zborniku: Sažetak
Vrsta recenzije: Međunarodna recenzija
Projekt / tema: 062-0000000-0211
Izvorni jezik: ENG
Kategorija: Znanstveni
Znanstvena područja:
Kliničke medicinske znanosti
URL Internet adrese: http://www.karger.com/doi/10.1159/000328511
Upisao u CROSBI: vlicul@medri.hr (vlicul@medri.hr), 12. Srp. 2011. u 13:04 sati



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