MEHMET KEMAL EMEM, ROHAT AK, MAZLUM KILIÇ
Southern Clinics of Istanbul Eurasia - 2022;33(3):257-261
INTRODUCTION: In the emergency department, death from acute pancreatitis may be predicted using the ED-SAS (emergency department peripheral capillary oxygen saturation, age, and systemic inflammatory response syndrome) scoring system. METHODS: One-center cohort observational research method was used in this study. It was decided to use a full case study technique. The hospital automation system was used to do retrospective screening on individuals who had presented to the emergency department with a diagnosis of acute pancreatitis. For the statistical evaluation of ED-SAS scoring system’s ability to predict 30-day mortality, the area under the curve (AUC) and receiver operating characteristic (ROC) curve were used. Results: A total of 112 patients were studied, with an average age of 62.5±18.4 years. The AUC (95% confidence interval: 0.6960.856) for the ED-SAS scoring system for the prediction of death in patients with acute pancreatitis was 0.784 (Youden’s index: 0.381), and the p-value was 0.001. The ED-SAS’s sensitivity was 57.1%, specificity was 80.9%, positive predictive value was 16.7%, and negative predictive value was 96.6% when the cutoff number was greater than 1. DISCUSSION AND CONCLUSION: The ED-SAS may be used to predict 30-day mortality in individuals with acute pancreatitis in the ED.
