Title

The Utility of the Systemic Inflammatory Respsonse [Response] Syndrome Score on Admission in Children With Acute Pancreatitis

UMMS Affiliation

Department of Pediatrics, Division of Pediatric Gastroentrology

Date

1-1-2017

Document Type

Article

Disciplines

Digestive System Diseases | Gastroenterology | Pediatrics

Abstract

OBJECTIVES: Pediatric patients with acute pancreatitis (AP) may meet criteria at admission for the systemic inflammatory response syndrome (SIRS). Early SIRS in adults with AP is associated with severe disease. Our aim was to evaluate the importance of SIRS in children presenting with AP on various outcomes.

METHODS: This is a retrospective cohort study of children hospitalized with AP at Boston Children's Hospital in 2010. Increased length of stay (LOS) and/or admission to the intensive care unit (ICU) served as the primary outcomes. Statistical analyses of measures studied included the presence of SIRS, demographic, and clinical information present on admission.

RESULTS: Fifty encounters, in which AP was the primary admitting diagnosis, were documented. Patients had a median LOS of 4.5 (interquartile range, 2-9) days. Systemic inflammatory response syndrome was present in 22 (44%) of 50 patients at admission. Systemic inflammatory response syndrome at admission was an independent predictor of increased LOS (odds ratio, 7.99; P = 0.045) as well as admission to the ICU (odds ratio, 12.06; P = 0.027).

CONCLUSIONS: The presence of SIRS criteria on admission serves as a useful and easy-to-calculate predictor of increased LOS and admission to ICU in children with AP.

Rights and Permissions

Citation: Pancreas. 2017 Jan;46(1):106-109. Link to article on publisher's site

Related Resources

Link to Article in PubMed

PubMed ID

27841791