Analysis of the efficiency of the implementation of the RIFLE scale and extend- ed kid replacement therapy for severe acute pancreatitis

Aim. Improving the results of treatment of patients with severe acute pancreatitis with multiple organ failure and acute renal failure.Materials and methods. The cases of 140 patients who had a history of severe acute pancreatitis with symptoms of multiorgan or isolated renal insufficiency over the period 2014-2018 were analyzed. Two groups were formed: the 1st (n-80, 2016-2018) and the 2nd (n-60, 2014-2015). Of the total number of all patients, there were 85 (60.7%) man and 55 (39.3%) women, with a ratio of almost 1.5:1. The average age of the patients included in the study was 48.22 ±12.32 years in the 1st group, 47.58 ± 10.56 years in the 2nd group (p≥0.05). In the 1st group all patients with severe acute pancreatitis used to determine the severity of acute kidney damage on the RIFLE scale with the onset of efferent therapy according to the degree of organ damage: R, I, or F. The 2nd group was treated without taking the RIFLE scale (only the retrospective scaling). At the time of admission to the hospital, there was a commensurability of research groups in terms of laboratory parameters, duration of illness, and comorbid background...