Table 2.
Study number | References | Study period | Study design | Country | Groups | Evaluation time, h | Definition of SAP | Sample size | Age | Male/female ratio | Severity | Mortality |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Cho et al., 2015 | 2011–2012 | Prospective | South Korea | CTSI | <48 of admission | 2012 revised Atlanta | 161 | 62.3a ± 16.1c | 102/59 | + | |
Ranson | <48 of admission | |||||||||||
BISAP | <24 of admission | |||||||||||
APACHE II | <24 of admission | |||||||||||
CRP | On admission and 24 h after admission | |||||||||||
2 | Gurleyik et al., 2005 | 2001–2005 | Prospective | Turkey | CTSI | <120 after the onset of symptoms | 1992 Atlanta | 55 | Mild: 56.1a (28–98)e severe: 60.3a (23–77)e | 18/37 | + | |
APACHE II | 48 | |||||||||||
CRP | at 48 h | |||||||||||
3 | Lee et al., 2016 | 2010–2013 | Prospective | South Korea | CTSI | On admission | 2012 revised Atlanta | 146 | Mild: 48.8a ± 16.4c, moderate: 49.3a ± 18.5c, severe: 63a ± 22.8c | 92/54 | + | |
Ranson | On admission | |||||||||||
BISAP | On admission | |||||||||||
APACHE II | On admission | |||||||||||
CRP | On admission and 24 h after admission | |||||||||||
4 | Qiu et al., 2015 | 2008–2014 | Retrospective | China | CTSI | <48 h of admission | 2012 revised Atlanta | 129 | 57a ± 17.3c | 468/441 | + | |
Ranson | <48 h of admission | |||||||||||
BISAP | <24 h of admission | |||||||||||
CTSI | <48 h of admission | 780 | ||||||||||
Ranson | <48 h of admission | |||||||||||
BISAP | <24 h of admission | |||||||||||
5 | Yue et al., 2015 | 2011–2013 | Prospective | China | CTSI | <48 h of admission | 2009 Atlanta | 169 | 54.3a ± 16.7c | 98/71 | + | |
Ranson | <48 h | |||||||||||
APACHE II | 0., and 72 h | |||||||||||
6 | Biberoglu et al., 2017 | 2010–2011 | Retropsective | Turkey | CTSI | NA | NA | 76 | Presented in intervals | 29/47 | + | |
7 | Bollen et al., 2011 | 2005–2007 | Prospective | NA | CTSI | 0–168 h, median 48 h after onset of symptoms | 2009 Atlanta | 196 | 53a (21–94)e | 107/89 | + | + |
MCTSI | 0–168 h, median 48 h after onset of symptoms | |||||||||||
APACHE II | NA | |||||||||||
8 | Sharma et al., 2015 | 2013–2014 | Retropsective | India | CTSI | 72–240 h after onset of symptoms | 2012 revised Atlanta | 105 | 40.6a ± 12.99NA | 65/40 | + | |
MCTSI | 72–240 h after onset of symptoms | |||||||||||
BISAP | NA | |||||||||||
9 | Yang et al., 2016 | 2007–2015 | Retropsective | China | MCTSI | <72 after onset of symptoms | 2008 Atlanta | 326 | 44a (14–85)e | 184/142 | + | + |
BISAP | <24 of admission | |||||||||||
Ranson | <48 of admission | |||||||||||
APACHE II | <24 of admission | |||||||||||
10 | Bollen et al., 2012 | 2.5 year period | Prospective | USA | CTSI | <24 of admission | 2009 Atlanta | 131 | 54b (21–91)e | 84/66 | + | + |
MCTSI | <24 of admission | 131 | ||||||||||
APACHE II | NA | 131/159 | ||||||||||
BISAP | NA | 131/159 | ||||||||||
11 | Alper et al., 2016 | 2011–2014 | Prospective | Turkey | CTSI | Within 72–96 h after admission | CTSI >6 and/or modified Glasgow score >3 | 187 | mild 57a ± 17.9NA, severe 60.1a ± 15.9NA | 111/76 | + | + |
12 | Zhao et al., 2016 | 2012–2014 | Observational | China | APACHE II | At admission = <72 h after onset of symptoms | 2012 revised Atlanta | 74 | NA | NA | + | |
CTSI | At admission = <72 h after onset of symptoms | |||||||||||
CRP | <72 h | |||||||||||
13 | Fabre et al., 2012 | 2003–2007 | Retrospective | France | Ranson | NA | 1992 Atlanta | 48 | 133 monthsb (24.9–233.5)e | 23/25 | + | |
CTSI | 17 | |||||||||||
14 | Simchuk et al., 2000 | 1992–1997 | Retrospective | USA | CTSI | – | – | 268 | 57a (18–93)e | 147/121 | + | |
15 | Jakchairoongruang and Arjhansiri, 2013 | 2005–2010 | Retrospective | Thailand | CTSI | – | – | 72 | 47.7a (6–89)e | 39/33 | + | |
16 | Hashimoto et al., 2016 | 2002–2012 | Retrospective | Japan | Ranson | NA | DeBanto et al. | 37 | 6b (5–12)e | 15/22 | + | |
CTSI | 33 | |||||||||||
17 | Park et al., 2013 | 2007–2010 | Retrospective | Korea | BISAP | <24 of admission | Based on organ failure and/or local complications | 303 | 52NA ± 17NA | 216/87 | + | + |
Ranson | <48 of admission | |||||||||||
APACHE II | <24 of admission | |||||||||||
CTSI | Within 7 days of admission | |||||||||||
CRP | Initial | |||||||||||
CRP | After 48 h | |||||||||||
18 | Khanna et al., 2013 | 2010–2012 | Prospective | India | BISAP | <24 of admission | Presence of organ failure for more than 48 h and local complications | 72 | 40.5a (18–76)e | 37/35 | + | + |
APACHE II | <24 of admission | 72 | ||||||||||
Ranson | <48 of admission | 72 | ||||||||||
CTSI | On day 4 | 54 | ||||||||||
CRP | On day 2 | 60 | ||||||||||
19 | Lautz et al., 2012 | 2000–2009 | Retrospective | USA | CTSI | At presentation | DeBanto et al. | 64 | 12.3b | NA | + | |
Ranson | NA | 64 | ||||||||||
20 | Chatzicostas et al., 2003 | 1999–2001 | Prospective | Greece | CTSI | <72 h after admission (median time 62 h) | 1992 Atlanta | 78 | 63.8a (25–93)e | 42/36 | + | |
APACHE II | <24 of admission | |||||||||||
Ranson | <48 of admission | |||||||||||
21 | Xu et al., 2014 | 2012 | Retropsective | China | CTSI | Within 3–5 days after admission | 2008 Atlanta | 257 | 51.2a ± 12.3NA (23–89)e | 196/61 | + | |
22 | Yadav et al., 2016 | 2012–2014 | Prospective | India | BISAP | <24 of admission | Persistent organ failure for more than 48 h | 119 | 38.94a ± 14.59c | 84/35 | + | + |
Ranson | <48 of admission | |||||||||||
CTSI | Within the first 7 days of hospitalization | |||||||||||
23 | Papachristou et al., 2010 | 2003–2007 | Prospective | USA | BISAP | <24 of admission | Presence of organ failure for more than 48 h | 185 | 51.7a(15–90)e | 94/91 | + | + |
Ranson | <48 of admission | |||||||||||
APACHE II | <24 of admission | |||||||||||
CTSI | Within 48 h from admission | |||||||||||
24 | Vriens et al., 2005 | 1994–2002 | Prospective | Netherlands | CTSI | Within 48 h after admission, 80% within 12 h | NA | 79 | 61a (15–86)e | 39/40 | + | |
Ranson | <48 of admission | |||||||||||
25 | Raghuwanshi et al., 2016 | 2013–2015 | Prospective | India | CTSI | NA | 2012 revised Atlanta | 50 | NA | NA | + | |
MCTSI | ||||||||||||
26 | Banday et al., 2015 | 2012–2013 | Prospective | India | MCTSI | NA | NA | 50 | 42,32a (17–80)e | 33/17 | + | |
27 | Huang et al., 2010 | 2007–2009 | Prospective | China | CTSI | <24 h after onset of symptoms | 1992 Atlanta | 187 | mild: 60.4a ± 6.7c severe: 59.5a ± 7.1c, | 112/75 | + | |
28/A | Fei et al., 2018 | 2013–2016 | Retrospective | China | BISAP | On admission | 2012 revised Atlanta | 1073 | 47.3a ± 7.1c | 615/458 | + | |
CTSI | ||||||||||||
AAPCHE II | ||||||||||||
Ranson | ||||||||||||
28/B | 2012–2016 | BISAP | 326 | 53.6a ± 8.7c | 168/158 | |||||||
CTSI | ||||||||||||
APACHE II | ||||||||||||
Ranson | ||||||||||||
29 | Kumar et al., 2017 | 2014–2016 | Prospective | Nepal | CTSI | After 48 h after arrival to hospital | Atlanta | 125 | 46.78a ± 14.16c | 74/51 | + | |
CRP | at 48 h | |||||||||||
Ranson | After 48 h of admission | |||||||||||
30 | Sahu et al., 2017 | 2014–2016 | Prospective | India | CTSI | Median of 6 days; range of 5–11 days | 2012 revised Atlanta | 60 | 37a (19–65)e | 36/24 | + | |
mCTSI | Median of 6 days; range of 5–11 days |
CTSI, computed tomography severity index; MCTSI, modified computed tomography severity index; BISAP, bedside index of severity in acute pancreatitis; APACHE II, Acute Physiology And Chronic Health Examination II; N/A, not applicable;
mean;
median;
standard difference;
standard error of mean;
range.