-
Autor
Agnoletti, Vanni 1 Agresta, Ferdinando 1 Catena, Fausto 1 Coccolini, Federico 1 Damaskos, Dimitrios 1 De Simone, Belinda 1 Di Saverio, Salomone 1 Giordano, Alessio 1 Ielpo, Benedetto 1 Kluger, Yoram 1 Leppaniemi, Ari 1 Mole, Damian 1 Pacella, Daniela 1 Pata, Francesco 1 Pellino, Gianluca 1 Pisanu, Adolfo 1 Podda, Mauro 1 Riboni, Cristiana 1 Sartelli, Massimo 1 Virdis, Francesco 1
- Organizace
-
Pracoviště
'Luigi Vanvitelli' University of Camp... 1 Centre for Inflammation Research Clin... 1 Colorectal Surgery Vall d'Hebron Univ... 1 Department of Abdominal Surgery Abdom... 1 Department of Emergency and Metabolic... 1 Department of Emergency and Trauma Su... 1 Department of General Surgery Santo S... 1 Department of Surgery EOC Regional Ho... 1 Department of Surgery Macerata Civil ... 1 Department of Surgery Madonna del Soc... 1 Department of Surgery Vittorio Veneto... 1 Department of Surgical Science Emerge... 1 Department of Upper GI Surgery Royal ... 1 Division of General Surgery Rambam He... 1 General Emergency and Trauma Surgery ... 1 General Surgery Unit Nicola Giannetta... 1 HPB Surgery Unit Hospital del Mar Bar... 1 Intensive Care Unit Bufalini Hospital... 1 Trauma and Acute Care Surgery Unit Ni... 1 University of Naples Federico 2 Depar... 1
- Formát
- Publikační typ
- Check Tag
- Kategorie
- Jazyk
- Země
- Časopis/zdroj
- Vlastník
-
Autor
Agnoletti, Vanni 1 Agresta, Ferdinando 1 Catena, Fausto 1 Coccolini, Federico 1 Damaskos, Dimitrios 1 De Simone, Belinda 1 Di Saverio, Salomone 1 Giordano, Alessio 1 Ielpo, Benedetto 1 Kluger, Yoram 1 Leppaniemi, Ari 1 Mole, Damian 1 Pacella, Daniela 1 Pata, Francesco 1 Pellino, Gianluca 1 Pisanu, Adolfo 1 Podda, Mauro 1 Riboni, Cristiana 1 Sartelli, Massimo 1 Virdis, Francesco 1
- Organizace
-
Pracoviště
'Luigi Vanvitelli' University of Camp... 1 Centre for Inflammation Research Clin... 1 Colorectal Surgery Vall d'Hebron Univ... 1 Department of Abdominal Surgery Abdom... 1 Department of Emergency and Metabolic... 1 Department of Emergency and Trauma Su... 1 Department of General Surgery Santo S... 1 Department of Surgery EOC Regional Ho... 1 Department of Surgery Macerata Civil ... 1 Department of Surgery Madonna del Soc... 1 Department of Surgery Vittorio Veneto... 1 Department of Surgical Science Emerge... 1 Department of Upper GI Surgery Royal ... 1 Division of General Surgery Rambam He... 1 General Emergency and Trauma Surgery ... 1 General Surgery Unit Nicola Giannetta... 1 HPB Surgery Unit Hospital del Mar Bar... 1 Intensive Care Unit Bufalini Hospital... 1 Trauma and Acute Care Surgery Unit Ni... 1 University of Naples Federico 2 Depar... 1
- Formát
- Publikační typ
- Check Tag
- Kategorie
- Jazyk
- Země
- Časopis/zdroj
- Vlastník
BACKGROUND/OBJECTIVES: Reports about the implementation of recommendations from acute pancreatitis guidelines are scant. This study aimed to evaluate, on a patient-data basis, the contemporary practice patterns of management of biliary acute pancreatitis and to compare these practices with the recommendations by the most updated guidelines. METHODS: All consecutive patients admitted to any of the 150 participating general surgery (GS), hepatopancreatobiliary surgery (HPB), internal medicine (IM) and gastroenterology (GA) departments with a diagnosis of biliary acute pancreatitis between 01/01/2019 and 31/12/2020 were included in the study. Categorical data were reported as percentages representing the proportion of all study patients or different and well-defined cohorts for each variable. Continuous data were expressed as mean and standard deviation. Differences between the compliance obtained in the four different subgroups were compared using the Mann-Whitney U, Student's t, ANOVA or Kruskal-Wallis tests for continuous data, and the Chi-square test or the Fisher's exact test for categorical data. RESULTS: Complete data were available for 5275 patients. The most commonly discordant gaps between daily clinical practice and recommendations included the optimal timing for the index CT scan (6.1%, χ2 6.71, P = 0.081), use of prophylactic antibiotics (44.2%, χ2 221.05, P < 0.00001), early enteral feeding (33.2%, χ2 11.51, P = 0.009), and the implementation of early cholecystectomy strategies (29%, χ2 354.64, P < 0.00001), with wide variability based on the admitting speciality. CONCLUSIONS: The results of this study showed an overall poor compliance with evidence-based guidelines in the management of ABP, with wide variability based on the admitting speciality. Study protocol registered in ClinicalTrials.Gov (ID Number NCT04747990).
- MeSH
- akutní nemoc MeSH
- cholecystektomie MeSH
- enterální výživa MeSH
- hospitalizace MeSH
- lidé MeSH
- pankreatitida * chirurgie diagnóza MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- klinická studie MeSH
Sdílet
Název dokumentu
Po ukončení testovacího provozu bude odkaz přesměrován adresu produkční verze portálu Medvik.