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Hyperamylasaemia in ruptured aortic aneurysm: Incidence and prognostic implications

✍ Scribed by J. S. Bagley; M. P. H. Tyler; Mr. G. G. Cooper

Publisher: John Wiley and Sons
Year: 1994
Tongue: English
Weight: 197 KB
Volume: 81
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800810109

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✦ Synopsis

Abstract

A study was carried out to determine the incidence of increased serum amylase activity in patients with ruptured aortic aneurysm during the 48 h after presentation and to assess its clinical significance. In a prospective series of 25 patients, hyperamylasaemia occurred in ten and was significantly associated with poor outcome (P=0·005). In patients who died or had a major complication, serum amylase activity was significantly higher than in those who had an uncomplicated postoperative recovery (P<0·05). There was a correlation between preoperative serum amylase activity and length of stay in the intensive care unit after operation (rs=0·78 (95 per cent confidence interval 0·54–0·90), P<0·002). Serum amylase activity may be useful as a prognostic indicator in patients with ruptured aortic aneurysm.

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