Severity of Acute Pancreatitis in COVID Pandemic
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Date
2021-12
Journal Title
Journal ISSN
Volume Title
Publisher
GCS Medical College, Hospital and Research Center
Abstract
Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for the ongoing pandemic of coronavirus disease 2019 (COVID-19) and has caused more than 80 million infections and 1.7 million deaths worldwide. Although it is primarily a respiratory virus, SARS-CoV-2 also has extra-pulmonary effects. Pancreatic injury and cases of acute pancreatitis (AP) have been recognized and attributed to SARSCoV-2. Aim: To study severity of Acute Pancreatitis during the covid pandemic as compared to a time period before the pandemic. Methods: A group of 100 patient diagnosed with acute pancreatitis between April 2020 to December 2020 (Group A) were compared with a group of 100 patients diagnosed with Acute Pancreatitis during the similar time frame in 2019 with respect to several parameters indicating the severity and complication rates of Acute Pancreatitis. Results: Revised Atlanta 2012 Grading, Ranson's score and Glasgow Criteriashowed significant difference in severity of acute Pancreatitis between the two groups (p<0.05). Patients with AP during COVID had higher severity as compared to before COVID.Patients with AP during COVID had significantly more ICU admission and significantly higher mortality and transient organ failure as compared to patients with AP before ICU. Conclusion: From the study, it has been found that Covid has impacted the health of the people and had some major issues. As target organs are same in severe AP and severe COVID19, acute respiratory distress syndrome or acute renal failure resulting from the latter can lead to inaccurate severity assessment. Acute pancreatitis in covid pandemic has affected the actions and activities of people.
Description
Keywords
Acute pancreatitis, Covid, Pandemic, Respiratory disease
Citation
Dhabalia Rahul, Chauhan Vineet, Kakadiya Hardik. Severity of Acute Pancreatitis in COVID Pandemic. GCSMC Journal of Medical Sciences. 2021 Dec; 10(2): 61-66