Acute pancreatitis (AP) is considered a disease requiring in-hospital treatment. We studied the feasibility of home management in AP.The aim of study was to compare 30 day readmission rates in patients with mild non-alcoholic acute pancreatitis (NAAP) randomized to home monitoring versus hospitalization.
Between 11/11-5/12, 84 patients with mild NAAP were randomized to home or hospital groups after a short (≤24 hours) hospital stay. AP was defined as ≥2 or more of the following: characteristic abdominal pain, amylase and/or lipase ≥3X the upper limit of normal, and/or imaging findings. Patients with an Imrie's score ≤5 and a harmless acute pancreatitis score (HAPS) ≤2 were included. Patients in both groups received intravenous lactated Ringer for 3 days and pain was treated with intramuscular diclofenac. A nurse visited all patients in the home group on the 2nd, 3rd and 5th day. All patients recalled for follow-up on the 7th, 14th, and 30th days.
Study Type
OBSERVATIONAL
Enrollment
84
Bezmialem Vakıf University Hospital, Gastroenterology Clinic
Istanbul, Turkey (Türkiye)
The primary outcome of the study was the 30 day hospital readmission rate.
30 day hospital readmission of home and hospital groups of patients were evaluated.
Time frame: 30 days
Other outcomes evaluated included the duration of abdominal pain and time to resumption of an oral diet, both measured in hours from the time of presentation.
Elaboration time of abdominal pain in home and hospital group patients as hour from the admission time to ICU. Time to resumption of an oral diet measured from the time of presentation.
Time frame: hours
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