Evaluation of diagnostic findings and scoring systems in outcome prediction in acute pancreatitis

Abstract

AIM:To determine factors related to disease severity, mortality and morbidity in acute pancreatitis. METHODS:One hundred and ninety-nine consecutive patients were admitted with the diagnosis of acute pancreatitis (AP) in a 5-year period (1998)(1999)(2000)(2001)(2002). In a prospective design, demographic data, etiology, mean hospital admission time, clinical, radiological, biochemical findings, treatment modalities, mortality and morbidity were recorded. Endocrine insufficiency was investigated with oral glucose tolerance test. The relations between these parameters, scoring systems (Ranson, Imrie and APACHE Ⅱ) and patients' outcome were determined by using invariable tests and the receiver operating characteristics curve.

Can C-reactive protein levels increase the accuracy of the Ranson score in predicting the severity and prognosis of acute pancreatitis? A prospective cohort study

“…Many systems have been used to predict the severity and prognosis of pancreatitis at an early stage, but none 210 Table 2. Ranson score and CRP value relation with the severity of acute pancreatitis of these systems has been proven to be perfect (16). Various models have been defined based on clinical, laboratory and radiological findings.…”

Severe acute pancreatitis in the elderly: Etiology and clinical characteristics

“…Recently, Kaya [20] demonstrated that the APACHE Ⅱ score is the best predictor of mortality among Ranson, Imrie and APACHE Ⅱ scores. We found that both APACHE Ⅱ and Ranson's criteria were of significance in predicting mortality in the aged.…”

Prediction of Mortality in Acute Pancreatitis: A Systematic Review of the Published Evidence

“…It was analysed in 7 studies [24,31,33,34,[37][38][39] . Among them, three used the ROC curves [24,33,39] , three investigated the correlation between mortality and the classes defined [31,34,38] , and one calculated the odds ratio of mortality when CTSI was 6 5 [37] . PPV was 41%, NPV 92% [33] .…”