Proyecto de titulación embargado con fines de de publicación de impacto

Abstract

Background Acute pancreatitis is one of the most common diseases of the gastrointestinal tract, characterized by acute inflammation of the exocrine pancreas and associated with acinar cell injury, leading to both a local and systemic inflammatory response. It is considered a common indication for hospital admission, and there is currently an increasing incidence even in children, the elderly and pregnant women. The overall incidence is 30 to 40 cases per 100,000 inhabitants per year. General objective To describe the efficacy of the APACHE and Balthazar scales to assess the severity of acute pancreatitis. Methodology A non-experimental, narrative, literature review type study was performed, using the main biomedical sources and databases. The most relevant articles published in the last 5 years (from 2017 to present) were included. The search was performed in English mainly because it is the vehicular language in the medical field, as well as in Spanish. Results Eleven scientific articles were described in which details about these two scales APACHE and Balthazar in which the efficacy was assessed from the area under the ROC curve, Kappa, P-value being these the most important, with the results obtained can be described more clearly and with current literature that the two scales present a similarity in efficacy. Conclusions The APACHE and Balthazar scoring scales have a similarity in efficacy that have been analyzed in different studies. These scales have a high specificity and sensitivity and are very useful to accurately identify the severity of the disease and even facilitate the implementation of appropriate clinical treatments.