The amylase test significance in the prediction of mortality of patients with necrotizing pancreatitis in the first three days of the disease onsetJournal: I.P. Pavlov Russian Medical Biological Herald (Vol.24, No. 1)
Publication Date: 2016-02-02
Authors : Politov S.Y.; Balnykov S.I;
Page : 103-108
Keywords : pancreatic; amylase; regression analysis;
The results of indicators blood amylase (160 studies) in the first three days of the beginning of a destructive pancreatitis in 149 patients in order to predict early mortality in the first 72 hours of onset. It was revealed that the enzyme values above 749 IU/L predicted an early death (sensitivity -Se. - 72,7%, specificity - Sp. - 71,8%). A more accurate forecast is based on a multifactor model cumulative effect of amylase, serum sodium concentration and the relative number of lymphocytes at the level of the associated criterion more ?-2,52? (Se. - 71,4%, Sp. - 83,2%).
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