International multidisciplinary survey on the initial management of acute pancreatitis : Perspective of point-of-care specialists focused on daily practice
© 2022 Japanese Society of Hepato-Biliary-Pancreatic Surgery..
BACKGROUND: The initial management of patients with acute pancreatitis impacts both morbidity and mortality. Point-of-care decisions have been reported to differ from clinical guideline recommendations.
METHODS: An online anonymous questionnaire was distributed through scientific associations and social media using REDCap. Multivariable logistic regression was used to identify the characteristics of participants associated with compliance with the recommendations.
RESULTS: A total of 1054 participants from 94 countries completed the questionnaire; median age (IQR) was 39 (32-47) years; 30.7% were women. Among the participants, 37% opted for nonmoderate flow of i.v. fluid, 31% for fluid type other than Ringer's lactate; 73.4% were in favor of nil per os to patients who could eat, 75.5% for other than enteral feeding to patients with oral intolerance; 15.5% used prophylactic antibiotic in patients with severe acute pancreatitis, 34.1% in necrotizing acute pancreatitis, and 27.4% in patients with systemic inflammatory response syndrome; 27.8% delayed cholecystectomy after biliary acute pancreatitis. Participants with publications in PubMed on acute pancreatitis showed better compliance (OR, 1.62; 95% CI: 1.15-2.32; P = .007) with recommendations of the clinical guidelines.
CONCLUSIONS: Feeding and nutrition require the greatest improvement efforts, but also the use of prophylactic antibiotics and timing of cholecystectomy should be improved.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
Journal of hepato-biliary-pancreatic sciences - 30(2023), 3 vom: 01. März, Seite 325-337 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lluís, Nuria [VerfasserIn] |
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| Links: |
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| Themen: |
Antibiotic prophylaxis |
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| Anmerkungen: |
Date Completed 20.03.2023 Date Revised 20.03.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/jhbp.1201 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM342374370 |
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| 520 | |a © 2022 Japanese Society of Hepato-Biliary-Pancreatic Surgery. | ||
| 520 | |a BACKGROUND: The initial management of patients with acute pancreatitis impacts both morbidity and mortality. Point-of-care decisions have been reported to differ from clinical guideline recommendations | ||
| 520 | |a METHODS: An online anonymous questionnaire was distributed through scientific associations and social media using REDCap. Multivariable logistic regression was used to identify the characteristics of participants associated with compliance with the recommendations | ||
| 520 | |a RESULTS: A total of 1054 participants from 94 countries completed the questionnaire; median age (IQR) was 39 (32-47) years; 30.7% were women. Among the participants, 37% opted for nonmoderate flow of i.v. fluid, 31% for fluid type other than Ringer's lactate; 73.4% were in favor of nil per os to patients who could eat, 75.5% for other than enteral feeding to patients with oral intolerance; 15.5% used prophylactic antibiotic in patients with severe acute pancreatitis, 34.1% in necrotizing acute pancreatitis, and 27.4% in patients with systemic inflammatory response syndrome; 27.8% delayed cholecystectomy after biliary acute pancreatitis. Participants with publications in PubMed on acute pancreatitis showed better compliance (OR, 1.62; 95% CI: 1.15-2.32; P = .007) with recommendations of the clinical guidelines | ||
| 520 | |a CONCLUSIONS: Feeding and nutrition require the greatest improvement efforts, but also the use of prophylactic antibiotics and timing of cholecystectomy should be improved | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a antibiotic prophylaxis | |
| 650 | 4 | |a cholecystectomy timing | |
| 650 | 4 | |a feeding and nutrition | |
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| 650 | 4 | |a ursodeoxycholic acid | |
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| 700 | 1 | |a Besselink, Marc G |e verfasserin |4 aut | |
| 700 | 1 | |a Capurso, Gabriele |e verfasserin |4 aut | |
| 700 | 1 | |a Garg, Pramod Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Gelrud, Andres |e verfasserin |4 aut | |
| 700 | 1 | |a Khannoussi, Wafaa |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Hong Sik |e verfasserin |4 aut | |
| 700 | 1 | |a Leppäniemi, Ari |e verfasserin |4 aut | |
| 700 | 1 | |a Löhr, Johannes-Matthias |e verfasserin |4 aut | |
| 700 | 1 | |a Mahapatra, Soumya Jagannath |e verfasserin |4 aut | |
| 700 | 1 | |a Mancilla, Carla |e verfasserin |4 aut | |
| 700 | 1 | |a van Santvoort, Hjalmar C |e verfasserin |4 aut | |
| 700 | 1 | |a Zapater, Pedro |e verfasserin |4 aut | |
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| 700 | 1 | |a Ramia, José Manuel |e verfasserin |4 aut | |
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