Relación del estado del balance hídrico con la severidad de la pancreatitis aguda y estadía hospitalaria en el área de emergencia del hospital Teodoro Maldonado Carbo durante el período 2016 -2019.

Abstract

Introduction: Acute pancreatitis is a pathology that consists of a sudden inflammatory process of the previously healthy pancreatic gland; we use the BISAP index as a tool that helps us determine the severity of this condition; in the last five years’ aggressive hydration during the first part of the treatment is debatable because it can worsen the initial patient condition. Objective: To demonstrate the relationship between positive fluid balance the prognosis of severity and hospital time in patients with acute pancreatitis. Methodology: Observational, descriptive, retrospective study carried out in the Emergency area of the Teodoro Maldonado Carbo Hospital in the period between January 2016 to December 2019. Results: Of the 80 subjects, 12 (15%) died, 46 (57.5%) were female, 34 (42.5%) were male, with an average age of 53.91 years, 27 (33.8 %) subjects were admitted to the ICU, and 53 (66.3%) to Clinical Observation, with an average stay of 9.38 days. No significant differences were observed when relating the water balance with the BISAP index and mortality. Subjects with a positive balance presented more complications 19 (36.5%) versus the group with a neutral balance 3 (11.5%). Conclusions: The positive fluid balance is not related to greater severity in acute pancreatitis or an increase in hospital stay, although a significant increase in mortality is observed.