{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T08:09:07Z","timestamp":1789459747965,"version":"build-2803163510"},"reference-count":24,"publisher":"Universidad Nacional de Colombia","issue":"5","license":[{"start":{"date-parts":[[2019,9,1]],"date-time":"2019-09-01T00:00:00Z","timestamp":1567296000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. salud p\u00fablica"],"abstract":"<jats:p>Objetivo La pancreatitis aguda de origen biliar es una patolog\u00eda gastrointestinal com\u00fan, en donde el tratamiento oportuno es el pilar m\u00e1s importante a pesar de sus discrepancias. El objetivo del estudio es establecer el impacto socioecon\u00f3mico en el manejo actual de esta patolog\u00eda, comparando dos hospitales de tercer nivel de estrato socioecon\u00f3mico alto y bajo de la ciudad de Bogot\u00e1, Colombia.Materiales y M\u00e9todos Se realiz\u00f3 un estudio retrospectivo, comparativo de corte transversal entre enero de 2012 y diciembre de 2017, en dos hospitales de Bogot\u00e1 D. C. Se evaluaron sus caracter\u00edsticas socioecon\u00f3micas, g\u00e9nero, tiempo de evoluci\u00f3n al momento de la consulta, Marshall score, estancia en UCI, estancia hospitalaria, complicaciones, manejo quir\u00fargico y mortalidad.Resultados Se analizaron 101 pacientes de dos estratos socioecon\u00f3micos diferentes (alto y bajo). Se encontr\u00f3 que los pacientes de estrato bajo tienen un riesgo diez veces mayor de requerir un procedimiento quir\u00fargico. Asimismo, registraron una mayor mortalidad en comparaci\u00f3n con pacientes de estrato alto (11,3% vs. 4,2%). Tambi\u00e9n se evidenciaron m\u00e1s complicaciones en el grupo de nivel socioecon\u00f3mico bajo con respecto al alto, como en la falla exocrina (81,1% vs. 31,3%) y el s\u00edndrome compartimental (35,8% vs. 4,2%).Conclusi\u00f3n Se encuentra mayor morbimortalidad en los pacientes de bajo nivel socioecon\u00f3mico en el contexto de esta patolog\u00eda. Este estudio puede guiar a nuevas investigaciones acerca del impacto socioecon\u00f3mico en los desenlaces de pancreatitis aguda severa.\n\u00a0<\/jats:p>","DOI":"10.15446\/rsap.v21n5.80470","type":"journal-article","created":{"date-parts":[[2020,12,9]],"date-time":"2020-12-09T18:21:33Z","timestamp":1607538093000},"page":"1-6","source":"Crossref","is-referenced-by-count":2,"title":["Impacto socioecon\u00f3mico del manejo actual de la pancreatitis aguda de origen biliar severa: estudio comparativo"],"prefix":"10.15446","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7565-5085","authenticated-orcid":false,"given":"Luis Felipe","family":"Cabrera Vargas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa Fernanda","family":"Hernandez Bello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7897-488X","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Urrutia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4707-1036","authenticated-orcid":false,"given":"Luis","family":"Marroquin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8726-5578","authenticated-orcid":false,"given":"Mauricio","family":"Pedraza Ciro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3733-404X","authenticated-orcid":false,"given":"Laura Tatiana","family":"Padilla Pinzon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2628-696X","authenticated-orcid":false,"given":"Jean Andr\u00e9","family":"Pulido Segura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7084-2540","authenticated-orcid":false,"given":"Sebasti\u00e1n","family":"S\u00e1nchez Ussa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2663-3626","authenticated-orcid":false,"given":"Diego","family":"Salcedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaquin","family":"Suarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6146","published-online":{"date-parts":[[2019,9,1]]},"reference":[{"key":"1254719","unstructured":"Ocampo C, Kohan G, Leiro F, Basso S, Guti\u00e9rrez S, Serafini V et al. 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Bogot\u00e1: Universidad Nacional de Colombia; 2017 [cited 2019 junio 26]. Available from: https:\/\/bit.ly\/2YyhR6h."},{"key":"1254728","doi-asserted-by":"crossref","unstructured":"Hill AD, Vingilis E, Martin CM, Hartford K, Speechley KN. Interhospital transfer of critically ill patients: Demographic and outcomes comparison with nontransferred intensive care unit patients. J Crit Care. 2007 Dec; 22(4):290-5. DOI:10.1016\/j.jcrc.2007.06.002.","DOI":"10.1016\/j.jcrc.2007.06.002"},{"key":"1254729","unstructured":"Buscaglia JM, Kapoor S, Jagannath SB, Krishnamurty DM, Shin EJ, Okolo PI. Disparities in demographics among patients with pancreatitis-related mortality. JOP. 2009 Mar 9 [cited 2019 Jun 3]; 10(2):174-80. Available from: https:\/\/bit.ly\/2D1eT2M."},{"key":"1254730","doi-asserted-by":"crossref","unstructured":"Smit M, Buddingh KT, Bosma B, Nieuwenhuijs VB, Hofker HS, Zijlstra JG. 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Crit Care [Internet]. 2005 Aug; 9(4):R452. DOI:10.1186\/cc3754.","DOI":"10.1186\/cc3754"},{"key":"1254734","doi-asserted-by":"crossref","unstructured":"Trikudanathan G, Vege SS. Current concepts of the role of abdominal compartment syndrome in acute pancreatitis \u2013 An opportunity or merely an epiphenomenon. Pancreatology. 2014 Jul 1; 14(4):238-43. DOI:10.1016\/j.pan.2014.06.002.","DOI":"10.1016\/j.pan.2014.06.002"},{"key":"1254735","doi-asserted-by":"crossref","unstructured":"Vidal MG, Weisser JR, Gonzalez F, Toro MA, Loudet C, Balasini C, et al. Incidence and clinical effects of intra-abdominal hypertension in critically ill patients. Crit Care Med. 2008 Jun; 36(6):1823-31. DOI:10.1097\/CCM.0b013e31817c7a4d.","DOI":"10.1097\/CCM.0b013e31817c7a4d"},{"key":"1254736","doi-asserted-by":"crossref","unstructured":"Roberts SE, Thorne K, Evans PA, Akbari A, Samuel DG, Williams JG. 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