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      Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis.

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          Abstract

          Background and Objectives: It has been demonstrated that parameters such as the Controlled Nutrition Status (CONUT) score and Prognostic Nutrition Index (PNI) are beneficial for the assessment of patients’ nutrition. In this study, our objective was to investigate the potential benefits of CONUT and, as a prognostic marker of acute pancreatitis, the PNI. Materials and Methods: The data of 361 patients were analysed retrospectively. The PNI and CONUT scores of these patients were retrospectively calculated. They were categorised as CONUT-high (≥3) and CONUT-low (≤2). A PNI ≥ 45 was considered high and a PNI < 45 low. The AP severity and organ failure due to disease were evaluated based on Atlanta 2012. Results: According to the CONUT score, it was found that 209 patients had normal to mild, whereas 152 patients had severe malnutrition. A total of 293 patients had mild AP and 68 thereof had severe AP. The patients with a high CONUT score used more antibiotics, were hospitalised more in intensive care units and experienced organ failure more frequently. There were no intensive care hospitalisations, mortalities, surgical needs and local complications among the patients with a higher PNI score. Conclusions: CONUT and the PNI have proven to be useful prognostic markers not only for predicting nutritional status but also for estimating the severity and results of AP.

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          Author and article information

          Journal
          Medicina (Kaunas)
          Medicina (Kaunas, Lithuania)
          MDPI AG
          1648-9144
          1010-660X
          Dec 28 2022
          : 59
          : 1
          Affiliations
          [1 ] Department of Gastroenterology, Mersin University Faculty of Medicine, Mersin 33343, Turkey.
          Article
          medicina59010070
          10.3390/medicina59010070
          9861209
          36676694
          1c71cb53-4ffe-4835-bced-23b824356fa1
          History

          acute pancreatitis,CONUT score,PNI,nutrition,prognosis,severity
          acute pancreatitis, CONUT score, PNI, nutrition, prognosis, severity

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