Abstract
The staging of diseases and injuries is indispensable for evaluating therapeutic results, exchanging information among researchers, and measuring medical or surgical progress. Staging presumes the disease to be gradable according to objective or subjective criteria and related to some prospective event, and it therefore necessarily involves prognosis. Regarding the field of surgery one can note that many diseases and injuries, including acute pancreatitis, can be graded according to the degree of severity, and that the prospective event is generally either of two alternatives, either to die or to survive. If the aim is to evaluate a set of conditions by objective methods, the problem can be reduced to a correlation between quantifiable inputs and an alternative outcome or output, i.e., to establishing a dose-response relationship that expands the concept of dose beyond its conventional definition in pharmacology.
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References
Alberto Dougnac L, Domingo Arriagada M, Andresen HM et al. (1989) Sistemas de evaluación de gravedad: APACHE, SAPS. Experienca nacional en una unidad de terapia intensiva medica. Rev Med Chil 117:1357–1362
Beger HG, Block S, Krautzberger W, Bittner R (1982) Die nekrotisierende Pankreatitis. Chirurg 53:784–789
Cohen MM, Duncan PG, Tate RB (1988) Does anesthesia contribute to operative mortality? JAMA 260:2859–2863
Dammann HG, Döpner M, von Wiehert P, Härders H (1981) Die Beurteilung der Frühprognose der akuten Pankreatitis. Zenttalbl Chir 106:154–160
Delaby J, Rieux D, Coppo B et al. (1990) Pancréatites aiguës: valeur pronostique de la tomodensitomètrie précoce couplée aux criterés de Ranson et son rôle dans la surveillance de évolution. Gastroenterol Clin Biol 14:209–216
Demmy TL, Burch JM, Feliciano DV, Mattox KL, Jordan GL (1988) Comparison of multiple-parameter prognostic systems in acute pancreatitis. Am J Surg 156:492–496
Farrow SC, Fowkes FGR, Lunn JN, Robertson I, Samuel P (1982) Epidemiology in anaesthesia. II. Factors affecting mortality in hospital. Br J Anaesth 54:811–817
Forrest JB, Rehder K, Goldsmith CH et al. (1990) Multicenter study of general anesthesia. Anesthesiology 72:252–268
Giangiuliani G, Mancini A, Gui D (1989) Validation of a severity of illness score (APACHE II) in a surgical intensive care unit. Intensive Care Med 15:519–522
Knaus WA, Zimmermann JE, Wagner DP, Draper EA, Lawrence DE (1981) APACHE - acute physiology and chronic health evaluation: physiologically based classification system. Crit Care Med 9:591–597
Larvin M, McMahon M (1989) APACHE-II score for assessment and monitoring of acute pancreatitis. Lancet ii:201–205
Lehmkuhl P, Lips U, Pichlmayr I (1986) Der Hannover Intensive Score (HIS) als neues Klassifikationssystem zu Verlaufskontrollen und Prognosestellung bei Intensivpatienten. Med Klin 81:235–240
Marx GF, Matea CV, Orkin LR (1973) Computer analysis of postanaesthetic deaths. Anasthesiology 39:54–58
Nordestgaard AG, Wilson SE, Williams RA (1986) Early computerized tomography as a predictor of outcome in acute pancreatitis. Am J Surg 152:127–132
Pérez C, Llauger J, Andreu J, Palmer J, Puig J (1990) Acute pancreatitis: value of CT as a predictor of outcome. Eur J Radiol 10:118–123
Ranson JHC (1982) Etiological and prognostic factors in human acute pancreatitis: a review. Am J Gastroenterol 77:633–638
Röding H (1985) Prognosen chirurgischer Erkrankungen und Schädigungen. Barth, Leipzig
Röding H (1987) Dosis-Wirkungs-Beziehungen in der klinischen Medizin: Zufälligkeit oder Prinzip? Z Klin Med 42:2159–2166
Röding H, Krenzien J, Röding T (1989) Acute pancreatitis-physiologic impairment and outcome 33rd World-Congress of Surgery, 10–16 Sept 1989, Toronto
Sage WM, Rosenthal MH, Silverman JF (1986) Is intensive care worth it? An assessment of input and outcome for the critically ill. Crit Care Med 14:777–782
Takada T, Yasuda H, Uchiyama K, Hasegawa H, Shikata J, Nagai J (1988) CT score and the severity of acute pancreatitis. Int Surg 73:94–98
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© 1993 Springer-Verlag Berlin Heidelberg
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Röding, H. (1993). Staging of Acute Pancreatitis. In: Beger, H.G., Büchler, M., Malfertheiner, P. (eds) Standards in Pancreatic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77437-9_10
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DOI: https://doi.org/10.1007/978-3-642-77437-9_10
Publisher Name: Springer, Berlin, Heidelberg
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