Dr Shazib Muhammad Saeed, Dr Saima Naz, Dr Saba Khurshid
Patients with severe acute pancreatitis often require intensive care unit (ICU) admission, have multiple complications, spend weeks to months in the hospital, and consume a large amount of resources. The aim of this study is to analyse the outcome of patients with acute pancreatitis requiring intensive care admission. This descriptive study was conducted in Punjab Medical College Faisalabad during 2019. The Health information and management system was involved to retrieve medical record numbers of all adult patients (age 18-60 years) admitted in hospital with diagnosis of AP. Patients required ICU admission during the course of their disease were included, while patients having mild pancreatitis and managed else where were excluded from study. Mean age of patients was 49 years, out of which 55% were males and 45% females. Most of these patients were obese having mean BMI of 30.3 Kg/m2. Association of comorbid conditions showed predominance towards hypertension (44.7%) and diabetes mellitus (30.6%). Presence of gall stones (54%) was the main etiological factor which lead to AP. Other causes were alcohol consumption (13%) and idiopathic (15%). 56% of patients were admitted directly from ED, while rest of them were referred from special care unit (22%), general ward (6%) and operating room (15.3%). It is concluded that high morbidity and mortality of AP requiring ICU admission. We recommend the implementation of care bundles right from the start of hospital admission.