Assessment of PANC3 score in predicting severity of acute pancreatitis

Shah, Amip; Gupta, Arun Kumar; Singh, Kulwant

doi:10.4103/1117-6806.199964

Cited by 9 publications

(8 citation statements)

References 18 publications

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“…14 Ocampo et al have stated in their study that pleural effusion is superior to multiple factor scoring system in predicting acute pancreatitis outcome by likelihood positive ratio of 16.1 for predicting total complication which is statistically significant. 20 The evaluation of PANC 3 score in our study is comparable to that observed by Shah AS et al 21 , who did a study on 100 patients and found out that the sensitivity of PANC3 score was 75%, and the specificity was 96.43%. The PPV was 80%, and the NPV was 95.29% in Results of PANC 3 score were comparable with the Modified ATLANTA classification and the APACHE II score (p value -0.005, kappa value of 0.266 and p value of 0.01 respectively).…”

Section: Discussionsupporting

confidence: 87%

Role of PANC-3 score to predict severe acute pancreatitis

2020

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Background: Acute pancreatitis is the most terrible of all the calamities that occur in connection with the abdominal viscera. Prediction of severity is an essential step in the management of acute pancreatitis. 50% of mortality can be reduced to 8% by its early recognition. PANC-3 score is widely available test that can be performed quickly, easy to measure with high accuracy in predicting acute pancreatitis.Methods: This cross-sectional study was conducted in the department of general surgery, VMMC and Safdarjung Hospital over 50 patients admitted with acute pancreatitis. After making the clinical diagnosis, PANC -3 score, modified ATLANTA score, APACHE II were done. CRP and CTSI (computed tomography sensitivity index) were calculated and correlated.Results: Mean age was 44.74 years and most common cause was biliary tract pathology. Mortality observed in 5 patients, 11 patients had severe disease. Sensitivity of PANC- 3 was 81.82%, specificity -92.31% with 75% PPV and 94.7% NPV.Conclusions: PANC-3 can be used to predict the severity of pancreatitis as efficiently as Modified ATLANTA classification/APACHE II. It uses only three criteria which are easily done, and available in the basic health care setup. Its interpretation does not need expertise and can be applied at the time of admission which is an advantage when compared to classical scoring systems.

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Section: Discussionsupporting

confidence: 87%

Role of PANC-3 score to predict severe acute pancreatitis

2020

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“…There are many scoring systems that providers may choose to utilize when making triaging decisions for this population. Some scoring systems that are available include Ranson Criteria, BISAP, PANC3, Modified CT Severity Index, Glasgow-Imrie Criteria, and the Pancreatitis Outcome Prediction score [17][18][19][20][21][22][23]. There is no single scoring system that is widely considered superior for predicting inpatient mortality with AP [24].…”

Section: Discussionmentioning

confidence: 99%

Inpatient Outcomes of Acute Pancreatitis Among Patients With Systemic Lupus Erythematosus: A Nationwide Analysis

Rim¹,

Kaye²,

Choi³

et al. 2021

Cureus

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This study explores the characteristics and outcomes, including inpatient mortality, length of stay, and pancreatitis complications in patients hospitalized with acute pancreatitis (AP) with coexisting systemic lupus erythematosus (SLE). MethodsPatients hospitalized with AP from the National Inpatient Sample from 2014 were selected. Patient characteristics and outcomes of AP were compared between the groups with and without SLE. Age, sex, race, Elixhauser Comorbidity Index (ECI), and etiologies of pancreatitis were measured. The outcomes of interest were inpatient mortality, length of stay, and complications, including respiratory failure, acute renal failure, myocardial infarction, hypotensive shock, sepsis, stroke, and ileus. Chi-squared tests and independent ttests were used to compare proportions and means, respectively. Multivariate logistic regression analysis was performed to determine if SLE is an independent predictor for the outcomes, adjusting for age, sex, race, ECI, and etiologies of pancreatitis. ResultsAmong 434,280 AP patients identified in the study, 3,015 patients had SLE. Among patients hospitalized with AP, those with SLE were younger, more likely to be female, more likely to be non-White, had higher ECI, and stayed longer in the hospital. Patients without SLE were more likely to have a history of cholelithiasis, alcohol abuse, and hypertriglyceridemia. AP patients presenting with SLE were at higher risk for respiratory failure, acute renal failure, hypotensive shock, stroke, and sepsis. Higher inpatient mortality was also associated with coexisting SLE. ConclusionsPatients admitted for AP with SLE have worse outcomes compared to those without SLE. Understanding the potential effects of SLE on AP and optimizing patient care in this population accordingly may improve the quality of care and outcomes.

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“…The combination of the three variables is highly predictive of SAP. PANC3 score has 96.43% specificity, 75% sensitivity, 80% positive predictive value, and 95.29% negative predictive value to identify severe acute pancreatitis (Shah et al, 2017). Another study showed that PANC3 score has sensitivity of 33% and specificity of 100% (Borges et al, 2017).…”

Section: Panc3 Scorementioning

confidence: 99%

“…The Ranson's criteria are used to score alcoholic pancreatitis while the modified criteria including 10 parameters are used to score gallbladder pancreatitis (Shah et al, 2017;Hagjer and Kumar, 2018;Waller et al, 2018). It has 10 parameters to assess gallstone pancreatitis.…”

Section: Modified Ranson's Criteriamentioning

confidence: 99%

Recent Advances in Diagnosis and Severity Assessment of Acute Pancreatitis

Paul

2020

Prague Med. Rep.

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The incidence and prevalence of acute pancreatitis (AP) is increasing over time. The diagnosis of acute pancreatitis is established by revised Atlanta criteria (2012). Multiple criteria and scoring systems have been used for assessment of severity of AP. Majority of acute pancreatitis cases (80%) are mild, the challenge remains in early diagnosis, severity assessment and treatment of severe AP and its complications. Assessment of severity of AP is important part of management because line of treatment depends on aetiology and severity of acute pancreatitis. In this article a comprehensive review of recent advances in diagnosis and severity assessment of acute pancreatitis has been described.

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Assessment of PANC3 score in predicting severity of acute pancreatitis

Cited by 9 publications

References 18 publications

Role of PANC-3 score to predict severe acute pancreatitis

Role of PANC-3 score to predict severe acute pancreatitis

Inpatient Outcomes of Acute Pancreatitis Among Patients With Systemic Lupus Erythematosus: A Nationwide Analysis

Recent Advances in Diagnosis and Severity Assessment of Acute Pancreatitis

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