Detailed Abstract
[Poster Exhibition]
[P077] Does surgical difficulty relate to severity of acute cholecystitis? Validation of the Parkland grading scale based on intraoperative findings
Woohyung LEE 2, Jin Kyu CHO1, Jae Yool JANG 1, Soon-Chan HONG 1, Chi-Young JEONG * 1
1Surgery, Gyeongsang National University Hospital,Gyeongsang National University Postgraduate School of Medicine, Korea
2Surgery, Asan medical center, University of Ulsan College of Medicine, , Korea
Introduction : The Parkland grading scale was assessed to validate its correlation to severity of acute cholecystitis.
Methods : This study investigated the correlation between the Parkland grading scale and Tokyo guidelines using multinomial logistic regression analysis in 177 patients with acute cholecystitis.
Results : High Parkland grading scale grades were related to higher C-reactive protein (p < 0.001) and frequent gangrenous cholecystitis (p < 0.001). The Parkland grading scale and Tokyo guideline grades correlated with statistical significance (p < 0.001). Patients with Parkland grading scale Grade 4 had a higher risk of moderate acute cholecystitis than those with Grade 3 (odds ratio: 4.4; 95% confidence interval [CI]: 1.2-15.6; p = 0.019). The Parkland grading scale showed good predictive power for moderate or severe acute cholecystitis (area under the curve: 0.771; 95% CI: 0.700-0.842; p = 0.031).
Conclusions : The Parkland grading scale is helpful to discriminate severity of acute cholecystitis. Patients with Parkland grading scale Grade 4 or 5 have a high risk of moderate or severe acute cholecystitis.
Methods : This study investigated the correlation between the Parkland grading scale and Tokyo guidelines using multinomial logistic regression analysis in 177 patients with acute cholecystitis.
Results : High Parkland grading scale grades were related to higher C-reactive protein (p < 0.001) and frequent gangrenous cholecystitis (p < 0.001). The Parkland grading scale and Tokyo guideline grades correlated with statistical significance (p < 0.001). Patients with Parkland grading scale Grade 4 had a higher risk of moderate acute cholecystitis than those with Grade 3 (odds ratio: 4.4; 95% confidence interval [CI]: 1.2-15.6; p = 0.019). The Parkland grading scale showed good predictive power for moderate or severe acute cholecystitis (area under the curve: 0.771; 95% CI: 0.700-0.842; p = 0.031).
Conclusions : The Parkland grading scale is helpful to discriminate severity of acute cholecystitis. Patients with Parkland grading scale Grade 4 or 5 have a high risk of moderate or severe acute cholecystitis.
SESSION
Poster Exhibition
Room E 4/6/2019 3:00 PM - 3:50 PM