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Discharge protocol in acute pancreatitis: an international survey and cohort analysis

dc.contributor.authorNagy, R.*
dc.contributor.authorOcskay, K.*
dc.contributor.authorSipos, Z.*
dc.contributor.authorSzentesi, A.*
dc.contributor.authorVincze, Á.*
dc.contributor.authorCzakó, L.*
dc.contributor.authorIzbéki, F.*
dc.contributor.authorShirinskaya, N.V.*
dc.contributor.authorPoluektov, V.L.*
dc.contributor.authorZolotov, A.N.*
dc.contributor.authorZhu, Y.*
dc.contributor.authorXia, L.*
dc.contributor.authorHe, W.*
dc.contributor.authorSutton, R.*
dc.contributor.authorSzatmary, P.*
dc.contributor.authorMukherjee, R.*
dc.contributor.authorBurridge, I.S.*
dc.contributor.authorWauchope, E.*
dc.contributor.authorFrancisco, E.*
dc.contributor.authorAparicio, D.*
dc.contributor.authorPinto, B.*
dc.contributor.authorGomes, A.*
dc.contributor.authorNunes, V.*
dc.contributor.authorTantau, V.M.*
dc.contributor.authorSagau, E.D.*
dc.contributor.authorTantau, A.I.*
dc.contributor.authorSuceveanu, A.I.*
dc.contributor.authorTocia, C.*
dc.contributor.authorDumitru, A.*
dc.contributor.authorPando, E.*
dc.contributor.authorAlberti, P.*
dc.contributor.authorCirera, A.*
dc.contributor.authorMolero, X.*
dc.contributor.authorLee, H.S.*
dc.contributor.authorJung, M.K.*
dc.contributor.authorKim, E.J.*
dc.contributor.authorLee, S.*
dc.contributor.authorRebollo, M.L.R.*
dc.contributor.authorNistal, R.B.*
dc.contributor.authorSantervas, S.I.*
dc.contributor.authorLesko, D.*
dc.contributor.authorSoltes, M.*
dc.contributor.authorRadonak, J.*
dc.contributor.authorZatorski, H.*
dc.contributor.authorMa?ecka-Panas, E.*
dc.contributor.authorFabisiak, A.*
dc.contributor.authorYaroslav, M.S.*
dc.contributor.authorMykhailo, V.M.*
dc.contributor.authorOlekcandr, A.T.*
dc.contributor.authorBarauskas, G.*
dc.contributor.authorSimanaitis, V.*
dc.contributor.authorIgnatavicius, P.*
dc.contributor.authorJinga, M.*
dc.contributor.authorBalaban, V.-D.*
dc.contributor.authorPatoni, C.*
dc.contributor.authorGong, L.*
dc.contributor.authorSong, K.*
dc.contributor.authorLi, Y.*
dc.contributor.authorGonçalves, T.C.*
dc.contributor.authorFreitas, M.*
dc.contributor.authorMacedo, V.*
dc.contributor.authorVornhuelz, M.*
dc.contributor.authorKlauss, S.*
dc.contributor.authorBeyer, G.*
dc.contributor.authorKoksal, A.S.*
dc.contributor.authorTozlu, M.*
dc.contributor.authorEminler, A.T.*
dc.contributor.authorMonclús, N.T.*
dc.contributor.authorComas, E.P.*
dc.contributor.authorOballe, J.A.R.*
dc.contributor.authorNawacki, ?.*
dc.contributor.authorG?uszek, S.*
dc.contributor.authorRama-Fernández, A.*
dc.contributor.authorGalego, M.*
dc.contributor.authorDe La Iglesia García, Daniel *
dc.contributor.authorAykut, U.E.*
dc.contributor.authorDuman, D.G.*
dc.contributor.authorAslan, R.*
dc.contributor.authorGherbon, A.*
dc.contributor.authorDeng, L.*
dc.contributor.authorHuang, W.*
dc.contributor.authorXia, Q.*
dc.contributor.authorPoropat, G.*
dc.contributor.authorRadovan, A.*
dc.contributor.authorVrani?, L.*
dc.contributor.authorRicci, C.*
dc.contributor.authorIngaldi, C.*
dc.contributor.authorCasadei, R.*
dc.contributor.authorNegoi, I.*
dc.contributor.authorCiubotaru, C.*
dc.contributor.authorIordache, F.M.*
dc.contributor.authorConstantinescu, G.*
dc.contributor.authorSandru, V.*
dc.contributor.authorAltintas, E.*
dc.contributor.authorBalci, H.R.*
dc.contributor.authorConstantino, J.*
dc.contributor.authorAveiro, D.*
dc.contributor.authorPereira, J.*
dc.contributor.authorGunay, S.*
dc.contributor.authorMisirlioglu Sucan, S.*
dc.contributor.authorDronov, O.*
dc.contributor.authorKovalska, I.*
dc.contributor.authorBush, N.*
dc.contributor.authorRana, S.S.*
dc.contributor.authorChooklin, S.*
dc.contributor.authorChuklin, S.*
dc.contributor.authorSaizu, I.A.*
dc.contributor.authorGheorghe, C.*
dc.contributor.authorGöltl, P.*
dc.contributor.authorHirth, M.*
dc.contributor.authorMateescu, R.B.*
dc.contributor.authorPapuc, G.*
dc.contributor.authorMinkov, G.A.*
dc.contributor.authorEnchev, E.T.*
dc.contributor.authorMastrangelo, L.*
dc.contributor.authorJovine, E.*
dc.contributor.authorChen, W.*
dc.contributor.authorZhu, Q.*
dc.contributor.authorG?siorowska, A.*
dc.contributor.authorFabisiak, N.*
dc.contributor.authorBezmarevic, M.*
dc.contributor.authorLitvin, A.*
dc.contributor.authorMottes, M.C.*
dc.contributor.authorChoi, E.K.*
dc.contributor.authorBánov?in, P.*
dc.contributor.authorNosáková, L.*
dc.contributor.authorKovacheva-Slavova, M.D.*
dc.contributor.authorKchaou, A.*
dc.contributor.authorTlili, A.*
dc.contributor.authorMarino, M.V.*
dc.contributor.authorKusnierz, K.*
dc.contributor.authorMickevicius, A.*
dc.contributor.authorHollenbach, M.*
dc.contributor.authorMolcan, P.*
dc.contributor.authorIoannidis, O.*
dc.contributor.authorTokarev, M.V.*
dc.contributor.authorInce, A.T.*
dc.contributor.authorSemenenko, I.A.*
dc.contributor.authorGaleev, S.*
dc.contributor.authorRamírez-Maldonado, E.*
dc.contributor.authorSallinen, V.*
dc.contributor.authorPencik, P.*
dc.contributor.authorBajor, J.*
dc.contributor.authorSarlós, P.*
dc.contributor.authorHágendorn, R.*
dc.contributor.authorGódi, S.*
dc.contributor.authorSzabó, I.*
dc.contributor.authorCzimmer, J.*
dc.contributor.authorPár, G.*
dc.contributor.authorIllés, A.*
dc.contributor.authorFaluhelyi, N.*
dc.contributor.authorKanizsai, P.*
dc.contributor.authorNagy, T.*
dc.contributor.authorMikó, A.*
dc.contributor.authorNémeth, B.*
dc.contributor.authorHamvas, J.*
dc.contributor.authorBod, B.*
dc.contributor.authorVarga, M.*
dc.contributor.authorTörök, I.*
dc.contributor.authorNovák, J.*
dc.contributor.authorPatai, Á.*
dc.contributor.authorSümegi, J.*
dc.contributor.authorGóg, C.*
dc.contributor.authorPapp, M.*
dc.contributor.authorEr?ss, B.*
dc.contributor.authorVáncsa, S.*
dc.contributor.authorTeutsch, B.*
dc.contributor.authorMárta, K.*
dc.contributor.authorHegyi, P.J.*
dc.contributor.authorTornai, T.*
dc.contributor.authorLázár, B.*
dc.contributor.authorHussein, T.*
dc.contributor.authorTarján, D.*
dc.contributor.authorLipp, M.*
dc.contributor.authorKovács, B.*
dc.contributor.authorUrbán, O.*
dc.contributor.authorFürst, E.*
dc.contributor.authorTari, E.*
dc.contributor.authorKocsis, I.*
dc.contributor.authorMaurovich-Horvát, P.*
dc.contributor.authorTihanyi, B.*
dc.contributor.authorEperjesi, O.*
dc.contributor.authorKormos, Z.*
dc.contributor.authorDeák, P.Á.*
dc.contributor.authorPárniczky, A.*
dc.contributor.authorHegyi, P.*
dc.date.accessioned2025-09-09T10:21:49Z
dc.date.available2025-09-09T10:21:49Z
dc.date.issued2023
dc.identifier.citationNagy R, Ocskay K, Sipos Z, Szentesi A, Vincze Á, Czakó L, et al. Discharge protocol in acute pancreatitis: an international survey and cohort analysis. Scientific Reports. 2023;13(1).
dc.identifier.issn2045-2322
dc.identifier.otherhttps://portalcientifico.sergas.gal//documentos/675f920360134444f312011e
dc.identifier.urihttp://hdl.handle.net/20.500.11940/21355
dc.description.abstractThere are several overlapping clinical practice guidelines in acute pancreatitis (AP), however, none of them contains suggestions on patient discharge. The Hungarian Pancreatic Study Group (HPSG) has recently developed a laboratory data and symptom-based discharge protocol which needs to be validated. (1) A survey was conducted involving all members of the International Association of Pancreatology (IAP) to understand the characteristics of international discharge protocols. (2) We investigated the safety and effectiveness of the HPSG-discharge protocol. According to our international survey, 87.5% (49/56) of the centres had no discharge protocol. Patients discharged based on protocols have a significantly shorter median length of hospitalization (LOH) (7 (5;10) days vs. 8 (5;12) days) p < 0.001), and a lower rate of readmission due to recurrent AP episodes (p = 0.005). There was no difference in median discharge CRP level among the international cohorts (p = 0.586). HPSG-protocol resulted in the shortest LOH (6 (5;9) days) and highest median CRP (35.40 (13.78; 68.40) mg/l). Safety was confirmed by the low rate of readmittance (n = 35; 5%). Discharge protocol is necessary in AP. The discharge protocol used in this study is the first clinically proven protocol. Developing and testifying further protocols are needed to better standardize patients' care.
dc.description.sponsorshipNo Statement Available
dc.languageeng
dc.rightsAttribution 4.0 International (CC BY 4.0)*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subject.meshHumans *
dc.subject.meshPatient Discharge *
dc.subject.meshPancreatitis *
dc.subject.meshAcute Disease *
dc.subject.meshHospitalization *
dc.subject.meshCohort Studies *
dc.titleDischarge protocol in acute pancreatitis: an international survey and cohort analysis
dc.typeArtigo
dc.authorsophosNagy, R.; Ocskay, K.; Sipos, Z.; Szentesi, A.; Vincze, Á.; Czakó, L.; Izbéki, F.; Shirinskaya, N.V.; Poluektov, V.L.; Zolotov, A.N.; Zhu, Y.; Xia, L.; He, W.; Sutton, R.; Szatmary, P.; Mukherjee, R.; Burridge, I.S.; Wauchope, E.; Francisco, E.; Aparicio, D.; Pinto, B.; Gomes, A.; Nunes, V.; Tantau, V.M.; Sagau, E.D.; Tantau, A.I.; Suceveanu, A.I.; Tocia, C.; Dumitru, A.; Pando, E.; Alberti, P.; Cirera, A.; Molero, X.; Lee, H.S.; Jung, M.K.; Kim, E.J.; Lee, S.; Rebollo, M.L.R.; Nistal, R.B.; Santervas, S.I.; Lesko, D.; Soltes, M.; Radonak, J.; Zatorski, H.; Ma?ecka-Panas, E.; Fabisiak, A.; Yaroslav, M.S.; Mykhailo, V.M.; Olekcandr, A.T.; Barauskas, G.; Simanaitis, V.; Ignatavicius, P.; Jinga, M.; Balaban, V.-D.; Patoni, C.; Gong, L.; Song, K.; Li, Y.; Gonçalves, T.C.; Freitas, M.; Macedo, V.; Vornhuelz, M.; Klauss, S.; Beyer, G.; Koksal, A.S.; Tozlu, M.; Eminler, A.T.; Monclús, N.T.; Comas, E.P.; Oballe, J.A.R.; Nawacki, ?.; G?uszek, S.; Rama-Fernández, A.; Galego, M.; de la Iglesia, D.; Aykut, U.E.; Duman, D.G.; Aslan, R.; Gherbon, A.; Deng, L.; Huang, W.; Xia, Q.; Poropat, G.; Radovan, A.; Vrani?, L.; Ricci, C.; Ingaldi, C.; Casadei, R.; Negoi, I.; Ciubotaru, C.; Iordache, F.M.; Constantinescu, G.; Sandru, V.; Altintas, E.; Balci, H.R.; Constantino, J.; Aveiro, D.; Pereira, J.; Gunay, S.; Misirlioglu Sucan, S.; Dronov, O.; Kovalska, I.; Bush, N.; Rana, S.S.; Chooklin, S.; Chuklin, S.; Saizu, I.A.; Gheorghe, C.; Göltl, P.; Hirth, M.; Mateescu, R.B.; Papuc, G.; Minkov, G.A.; Enchev, E.T.; Mastrangelo, L.; Jovine, E.; Chen, W.; Zhu, Q.; G?siorowska, A.; Fabisiak, N.; Bezmarevic, M.; Litvin, A.; Mottes, M.C.; Choi, E.K.; Bánov?in, P.; Nosáková, L.; Kovacheva-Slavova, M.D.; Kchaou, A.; Tlili, A.; Marino, M.V.; Kusnierz, K.; Mickevicius, A.; Hollenbach, M.; Molcan, P.; Ioannidis, O.; Tokarev, M.V.; Ince, A.T.; Semenenko, I.A.; Galeev, S.; Ramírez-Maldonado, E.; Sallinen, V.; Pencik, P.; Bajor, J.; Sarlós, P.; Hágendorn, R.; Gódi, S.; Szabó, I.; Czimmer, J.; Pár, G.; Illés, A.; Faluhelyi, N.; Kanizsai, P.; Nagy, T.; Mikó, A.; Németh, B.; Hamvas, J.; Bod, B.; Varga, M.; Török, I.; Novák, J.; Patai, Á.; Sümegi, J.; Góg, C.; Papp, M.; Er?ss, B.; Váncsa, S.; Teutsch, B.; Márta, K.; Hegyi, P.J.; Tornai, T.; Lázár, B.; Hussein, T.; Tarján, D.; Lipp, M.; Kovács, B.; Urbán, O.; Fürst, E.; Tari, E.; Kocsis, I.; Maurovich-Horvát, P.; Tihanyi, B.; Eperjesi, O.; Kormos, Z.; Deák, P.Á.; Párniczky, A.; Hegyi, P.
dc.identifier.doi10.1038/s41598-023-48480-z
dc.identifier.sophos675f920360134444f312011e
dc.issue.number1
dc.journal.titleScientific Reports*
dc.organizationServizo Galego de Saúde::Áreas Sanitarias (A.S.) - Complexo Hospitalario Universitario de Santiago::Dixestivo
dc.relation.projectIDJnos Bolyai Research Scholarship of the Hungarian Academy of Sciences
dc.relation.publisherversionhttps://doi.org/10.1038/s41598-023-48480-z
dc.rights.accessRightsopenAccess*
dc.subject.keywordAS Santiago
dc.subject.keywordCHUS
dc.typefidesArtículo Científico (incluye Original, Original breve, Revisión Sistemática y Meta-análisis)
dc.typesophosArtículo Original
dc.volume.number13


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