Correlación de valores de proteína C reactiva con el grado de severidad de pancreatitis aguda biliar en el servicio de cirugía general del Hospital General del Norte de Guayaquil IESS Los Ceibos durante el año 2020 – 2021.

Abstract

Introduction: Acute pancreatitis (AP) is one of the most frequent pathologies in the area of emergency and gastroenterology in the world, according to statistics, its incidence ranges from 13 to 45 cases per 100,000 inhabitants. Its appearance depends on several factors, such as sex, race and geographical location. In Ecuador, Argentina, Brazil and Chile, the incidence rates are high, which is why it is an important condition in public health, both due to the economic repercussions and morbidity. Objective: To determine the correlation between serum CRP levels and the degree of severity of acute pancreatitis in patients treated in the period 2020/2021 at the General Hospital of the North of Guayaquil IESS Los Ceibos. Materials and Methods: A retrospective study is carried out, with an analytical, nonexperimental, cross-sectional, theoretical and descriptive method, which includes a sample of 142 patients who were admitted with a diagnosis of acute pancreatitis. Among the fundamental variables, the serum value of C-reactive protein was considered, to associate its relationship in terms of the severity of the case. Results: The predominant sex was female (62%), with an average age of 48 years. The average CRP level was 29.4 mg/dl. The days of hospitalization had a mean of 10 days. 17% of the patients required admission to the intensive care unit. According to the patient's discharge condition, 93% were alive, while 7% (10 of 142) died with this pathology. Conclusion: The percentage of mortality due to acute pancreatitis in this group of patients was 7%. There is a statistically significant correlation (<0.01) between the CRP levels with the days of hospitalization, admission to the ICU and the patient's condition at discharge.