The characteristics and prognostic role of acute abdominal on-admission pain in acute pancreatitis: A prospective cohort analysis of 1432 cases.
Mária FöldiNoémi GedeSzabolcs KissÁron VinczeJudit BajorImre SzabóZoltán SzepesFerenc IzbékiJudit GervainJózsef HamvasZsuzsanna VitálisEszter FehérStefan CraiVille SallinenElena Ramirez-MaldonadoÁgnes MeczkerPéter VarjúGoran PoropatDavor StimacNándor FaluhelyiAttila MisetaTamás NagyZsolt MártonAndrás VereczkeiPéter Jenő HegyiAndrea PárniczkyPéter HegyiAndrea Szentesinull nullPublished in: European journal of pain (London, England) (2021)
Acute abdominal pain is the leading presenting symptom in acute pancreatitis; however, we currently lack specific guidelines for pain assessment and management. In our cohort analysis, intense and sharp pain on admission was associated with higher odds for severe AP and several systemic and local complications. Therefore, a comprehensive patient interview should include questions about pain characteristics and patients with intense and sharp pain might need closer monitoring.