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Prospective randomized-controlled trial evaluating impact of enhanced recovery protocol compared to standard care for recovery of patients with acute pancreatitis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enhanced recovery | Experimental | Enhanced recovery protocol for nursing, diet and analgesic regimen |
|
| Standard care | No Intervention | Standard care arm |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enhanced recovery protocol | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to tolerance of oral refeeding | Resumption of intake of 50% of solid meal without symptoms of worsening post-prandial abdominal pain, nausea or vomiting | Up to 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Time to disease resolution | Acute Pancreatitis Clinical Activity Index score<50 | Up to 30 days |
| Satisfaction with inpatient hospital care | Comparison of overall and pain management satisfaction score based on validated survey instrument |
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Inclusion Criteria:
Exclusion Criteria:
• Severe acute pancreatitis defined as the presence of any of the following:
Organ failure (oxygen saturation<90% on room air, mean arterial pressure<70 mmHG or any requirement for vasopressor or inotropic support, serum creatinine>2.0, Glasgow coma score<15)
Suspected or confirmed infected pancreatic necrosis: fever, leukocytosis in the setting of suspicious findings on cross-sectional imaging (gas within necrotic collection) or confirmed infection on fine needle aspirate
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| Name | Affiliation | Role |
|---|---|---|
| Bechien U Wu, MD, MPH | Kaiser Permanente Southern California, Los Angeles Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaiser Permanente Los Angeles Medical Center | Los Angeles | California | 90027 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30629020 | Derived | Dong E, Chang JI, Verma D, Butler RK, Villarin CK, Kwok KK, Chen W, Wu BU. Enhanced Recovery in Mild Acute Pancreatitis: A Randomized Controlled Trial. Pancreas. 2019 Feb;48(2):176-181. doi: 10.1097/MPA.0000000000001225. |
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| ID | Term |
|---|---|
| D010195 | Pancreatitis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
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| 30 days post-hospitalization |