<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902017000300026</article-id>
<article-id pub-id-type="doi">10.29193/rmu.33.3.2</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[SIRS como predictor de severidad en la pancreatitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[SIRS as a predictor of severity in acute pancreatitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cubas]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Varela]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noria]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibarra]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[José Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Fabián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canessa]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas Clínica Quirúrgica &#8220;B&#8221;]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central de las Fuerzas Armadas Servicio de Cirugía ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Cátedra de Métodos Cuantitativos]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas Clínica Quirúrgica &#8220;B&#8221;]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de la República  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>33</volume>
<numero>3</numero>
<fpage>26</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902017000300026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902017000300026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902017000300026&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  durante muchos años se han utilizado distintos scores clínicos, paraclínicos e imagenológicos con el fin de predecir la morbimortalidad en la pancreatitis aguda. Dichos scores han demostrado diversa utilidad, aunque la complejidad de los mismos a la hora de su implementación ha limitado su uso en la práctica clínica habitual.  Objetivo:  establecer la relación del síndrome de respuesta inflamatoria sistémica (SIRS) y su duración con la mortalidad y el desarrollo de complicaciones.  Material y método:  se realizó un estudio multicéntrico, analítico y observacional de todos los pacientes con pancreatitis aguda (96) diagnosticados desde mayo de 2015 a mayo de 2016 en el Hospital Central de las Fuerzas Armadas (43,8%), en el Hospital de Clínicas (30,3%) y en el Hospital Español (21,9%).  Resultados:  el 67% de las pancreatitis agudas se desarrollaron de forma leve, 25% de forma moderada y 8% de forma severa. El 42% tenía SIRS al momento del diagnóstico y 15% mantuvieron el SIRS por más de 48 horas. El SIRS mantenido se asoció significativamente con la existencia de necrosis pancreática, falla orgánica persistente, necesidad de cuidados intensivos, presencia de complicaciones locorregionales, número aumentado de tomografías, severidad de la pancreatitis aguda y mortalidad. La mortalidad en pacientes con SIRS transitorio fue nula y con SIRS mantenido de 27%.  Conclusión:  el SIRS mantenido por más de 48 horas se asocia significativamente a todos los marcadores de severidad. Su ausencia o su presencia por menos de 48 horas no se asocian a mortalidad y las complicaciones locorregionales son menores.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: a number of different clinical, paraclinical and image scores have been used over the years to predict morbimortality in severe acute pancreatitis. These scores have evidenced different usefulness, although the fact that they are complex has resulted in limitations in their use in the regular clinical practice.  Objective:  to determine the association of SIRS and its duration with mortality and the development of complications  Method: we conducted a multi-center, analytical and observational study of all patients with acute pancreatitis (96 patients) diagnosed at the Hospital Central de las Fuerzas Armadas (Armed Forces Central Hospital (43.8%), Clínicas Hospital (30.3%) and Hospital Español (21.9%).  Results:  67% of the cases with acute pancreatitis evidenced a mild evolution, 25% of them a moderate one and 8% of them a severe one. 42% of patients developed SIRS at the time of diagnosis, and 15% of patients evidenced continued SIRS 48 hours after. Continued SIRS was significantly associated to the existence of pancreatic necrosis, persistent organ failure, the need for intensive care, the development of locoregional complications, an increase in the number of CT, severity of acute pancreatitis and mortality. Mortality in patients with transient SIRS was null and in those with continued SIRS was 27%.  Conclusion:  continued SIRS for over 48 hours is associated to all severity markers. Absence or presence of SIRS for at least 48 hours is not associated to mortality and locoregional complications are minor.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: durante muitos anos se há utilizado distintos escores clínicos, de exames complementares e de imagenologia para predizer a morbimortalidade na pancreatite aguda. Esses escores mostraram ser úteis de diferentes maneiras, porém seu uso na prática clínica habitual está limitado pela complexidade dos mesmos.  Objetivo: estabelecer a relação da Síndrome de Resposta Inflamatória Sistémica (SIRS) e sua duração com a mortalidade e o aparecimento de complicações.  Material e método:  realizou-se um estudo multicêntrico, analítico e observacional de todos os pacientes com pancreatite aguda (96 pacientes) diagnosticados no período maio de 2015 a maio de 2016 no Hospital Central de las Fuerzas Armadas (43,8%), no Hospital de Clínicas (30,3%), e no Hospital Español (21,9%).  Resultados: 67% das pancreatites agudas eram leves, 25% moderadas e 8% graves. 42% apresentaram SIRS no momento do diagnóstico e 15% durante mais de 48 horas. O SIRS mais prolongado estava significativamente associado com a existência de necrose pancreática, falha orgânica persistente, necessidade de cuidados intensivos, presença de complicações loco-regionais, maior número de tomografias, gravidade da pancreatite aguda e mortalidade. A mortalidade em pacientes com SIRS transitório foi nula e com SIRS mais prolongado foi de 27%.  Conclusão:  o SIRS durante mais de 48 horas está associado significativamente a todos os marcadores de gravidade. Sua ausência ou presença por menos de 48 horas não está associada a mortalidade e as complicações loco-regionais são menores.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pancreatitis aguda]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de respuesta inflamatoria sistémica]]></kwd>
<kwd lng="en"><![CDATA[Acute pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[Systemic inflammatory response syndrome]]></kwd>
<kwd lng="pt"><![CDATA[Pancreatite aguda]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de resposta inflamatória sistémica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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