prikaz prve stranice dokumenta The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases
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Scientific paper - Original scientific paper
The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases
European Journal of Pain, 00 (2021); 1-14. https://doi.org/10.1002/ejp.1885
Foldi, Maria; Gede, Noemi; Kiss, Szabolcs; Vincze, Aron; Bajor, Judit; Szabo, Imre; Szepes, Zoltan; Izbeki, Ferenc; Gervain, Judit; Hamvas, Jozsef; Vitalis, Zsuzsanna; Feher, Ezster; Crai, Stefan; Sallinen, Ville; Ramirez-Maldonado, Elena; Meczker, Agnes; Varju, Peter; Poropat, Goran; Štimac, Davor; Faluhelyi, Nandor; Miseta, Attila; Marton, Zsolt; Vereczkei, Andras; Hegyi, Peter Jeno; Parniczky, Andrea; Hegyi, Peter; Szentesi, Andrea More authors...

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Foldi, M., Gede, N., Kiss, S., Vincze, A., Bajor, J., Szabo, I. ... Szentesi, A. (2021). The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases. European Journal of Pain, 00., 1-14. doi: 10.1002/ejp.1885

Foldi, Maria, et al. "The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases." European Journal of Pain, vol. 00, 2021, pp. 1-14. https://doi.org/10.1002/ejp.1885

Foldi, Maria, Noemi Gede, Szabolcs Kiss, Aron Vincze, Judit Bajor, Imre Szabo, Zoltan Szepes, et al. "The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases." European Journal of Pain 00 (2021): 1-14. https://doi.org/10.1002/ejp.1885

Foldi, M., et al. (2021) 'The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases', European Journal of Pain, 00, pp. 1-14. doi: 10.1002/ejp.1885

Foldi M, Gede N, Kiss S, Vincze A, Bajor J, Szabo I, and sur.. The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases. European Journal of Pain [Internet]. 2021 [cited 2025 March 31];00:1-14. doi: 10.1002/ejp.1885

M. Foldi, et al., "The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases", European Journal of Pain, vol. 00, pp. 1-14, 2021. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:807004. [Accessed: 31 March 2025]

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Metadata
Title (english)The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases
AuthorMaria Foldi
AuthorNoemi Gede
AuthorSzabolcs Kiss
AuthorAron Vincze
AuthorJudit Bajor
AuthorImre Szabo
AuthorZoltan Szepes
AuthorFerenc Izbeki
AuthorJudit Gervain
AuthorJozsef Hamvas
AuthorZsuzsanna Vitalis
AuthorEzster Feher
AuthorStefan Crai
AuthorVille Sallinen
AuthorElena Ramirez-Maldonado
AuthorAgnes Meczker
AuthorPeter Varju
AuthorGoran Poropat
AuthorDavor Štimac
AuthorNandor Faluhelyi
AuthorAttila Miseta
AuthorZsolt Marton
AuthorAndras Vereczkei
AuthorPeter Jeno Hegyi
AuthorAndrea Parniczky
AuthorPeter Hegyi
AuthorAndrea Szentesi
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
Introduction Pain is the most common symptom in acute pancreatitis (AP) and is among the diagnostic criteria. Therefore, we aimed to characterize acute abdominal pain in AP. Methods The Hungarian Pancreatic Study Group prospectively collected multicentre clinical data on 1435 adult AP patients between 2012 and 2017. Pain was characterized by its intensity (mild or intense), duration prior to admission (hours), localization (nine regions of the abdomen) and type (sharp, dull or cramping).... More Results 97.3% of patients (n = 1394) had pain on admission. Of the initial population with acute abdominal pain, 727 patients answered questions about pain intensity, 1148 about pain type, 1134 about pain localization and 1202 about pain duration. Pain was mostly intense (70%, n = 511/727), characterized by cramping (61%, n = 705/1148), mostly starting less than 24 h prior to admission (56.7%, n = 682/1202). Interestingly, 50.9% of the patients (n = 577/1134) had atypical pain, which means pain other than epigastric or belt-like upper abdominal pain. We observed a higher proportion of peripancreatic fluid collection (19.5% vs. 11.0% ; p = 0.009) and oedematous pancreas (8.4% vs. 3.1% ; p = 0.016) with intense pain. Sharp pain was associated with AP severity (OR = 2.481 95% CI: 1.550-3.969) and increased mortality (OR = 2.263, 95% CI: 1.199-4.059) compared to other types. Longstanding pain (>72 h) on admission was not associated with outcomes. Pain characteristics showed little association with the patient's baseline characteristics. Conclusion A comprehensive patient interview should include questions about pain characteristics, including pain type. Patients with sharp and intense pain might need special monitoring and tailored pain management. Significance Acute abdominal pain is the leading presenting symptom in acute pancreatitis ; however, we currently lack specific guidelines for pain assessment and management. In our cohort analysis, intense and sharp pain on admission was associated with higher odds for severe AP and several systemic and local complications. Therefore, a comprehensive patient interview should include questions about pain characteristics and patients with intense and sharp pain might need closer monitoring. Less
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleEuropean Journal of Pain
Numberingvol. 00, pp. 1-14, 1185
p-ISSN1090-3801
e-ISSN1532-2149
DOIhttps://doi.org/10.1002/ejp.1885
URN:NBNurn:nbn:hr:184:807004
Publication2021
ProjectNumber: uniri-biomed-18-154
Title (croatian): Primjena balansiranih kristaloidnih otopina u ranoj fazi liječenja akutnog pankreatitisa
Title (english): Application of Balanced Crystalloid Solutions in the Early Phase of Treatment of Acute Pancreatitis
Leader: Goran Poropat
Jurisdiction: Croatia
Funding stream: Sveučilište u Rijeci
Document URLhttp://bib.irb.hr/1163224
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) icon
Created on2021-12-27 09:41:23
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