Comparison of modified Glasgow-Imrie, Ranson, and Apache II scoring systems in predicting the severity of acute pancreatitis

被引:5
作者
Chauhan, Rohit [1 ]
Saxena, Neeraj [1 ]
Kapur, Neeti [1 ]
Kardam, Dinesh Kumar [1 ]
机构
[1] Atal Bihari Vajpayee Inst Med Sci & Dr Ram Manohar, Dept Gen & Minimally Invas Surg, New Delhi, India
关键词
APACHE II; Glasgow-Imrie; prognostic scores; Ranson; severe acute pancreatitis; CLASSIFICATION; PATHOGENESIS; MANAGEMENT;
D O I
10.5604/01.3001.0015.8384
中图分类号
R61 [外科手术学];
学科分类号
摘要
Aim: The course of acute pancreatitis is variable with patients at risk of poor outcomes. The purpose of this study was to compare Modified Glasgow-Imrie, Ranson, and APACHE II scoring systems in predicting the severity of acute pancreatitis.Material and Methods: After a brief history, clinical examination and qualifying inclusion criteria, 70 patients (41 women, 29 men) diagnosed with acute pancreatitis were included in the study. The three scores were calculated for each patient and evaluated for their role in the assessment of specific outcomes.Results: 34.3% patients were diagnosed with severe acute pancreatitis, while 65.7% patients had mild acute pancreatitis. A strong positive correlation was found between all the prognostic scores and the severity of disease. In the prediction of the severity of disease according to AUC, it was found that Glasgow-Imrie score had an AUC of 0.864 (0.756-0.973), followed very closely by APACHE II score with an AUC of 0.863 (0.758-0.968). APACHE II had the highest sensitivity (79.17%) in predicting severity while Glasgow-Imrie score was the most specific (97.83%) of all the scores. Patients with a Glasgow-Imrie score above the cut-off value of 3 had more complications and a longer hospital stay.Conclusion: The Glasgow-Imrie score was comparable to APACHE II score and better than Ranson score statistically in predicting the severity of acute pancreatitis. Its administration in predicting the severity of acute pancreatitis is recommended.
引用
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页码:8 / 15
页数:8
相关论文
共 20 条
  • [1] Aghdassi A.A., 2021, INTERNIST BERL, V62, P1044, DOI [10.1007/s00108-021-01153-3, DOI 10.1007/S00108-021-01153-3]
  • [2] Alter D, 2021, JAMA-J AM MED ASSOC, V325, P2402, DOI 10.1001/jama.2021.6012
  • [3] Classification of acute pancreatitis-2012: revision of the Atlanta classification and definitions by international consensus
    Banks, Peter A.
    Bollen, Thomas L.
    Dervenis, Christos
    Gooszen, Hein G.
    Johnson, Colin D.
    Sarr, Michael G.
    Tsiotos, Gregory G.
    Vege, Santhi Swaroop
    [J]. GUT, 2013, 62 (01) : 102 - 111
  • [4] Comparison of APACHE II and imrie scoring systems in predicting the severity of acute pancreatitis
    Barreto S.G.
    Rodrigues J.
    [J]. World Journal of Emergency Surgery, 2 (1)
  • [5] PROGNOSTIC FACTORS IN ACUTE-PANCREATITIS
    BLAMEY, SL
    IMRIE, CW
    ONEILL, J
    GILMOUR, WH
    CARTER, DC
    [J]. GUT, 1984, 25 (12) : 1340 - 1346
  • [6] The role of imaging in acute pancreatitis
    Brizi, Maria Gabriella
    Perillo, Federica
    Cannone, Federico
    Tuzza, Laura
    Manfredi, Riccardo
    [J]. RADIOLOGIA MEDICA, 2021, 126 (08): : 1017 - 1029
  • [7] Khanna Ajay K, 2013, HPB Surg, V2013, P367581, DOI 10.1155/2013/367581
  • [8] APACHE-II - A SEVERITY OF DISEASE CLASSIFICATION-SYSTEM
    KNAUS, WA
    DRAPER, EA
    WAGNER, DP
    ZIMMERMAN, JE
    [J]. CRITICAL CARE MEDICINE, 1985, 13 (10) : 818 - 829
  • [9] New insights into acute pancreatitis
    Lee, Peter J.
    Papachristou, Georgios L.
    [J]. NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY, 2019, 16 (08) : 479 - 496
  • [10] MULTIPLE ORGAN DYSFUNCTION SCORE - A RELIABLE DESCRIPTOR OF A COMPLEX CLINICAL OUTCOME
    MARSHALL, JC
    COOK, DJ
    CHRISTOU, NV
    BERNARD, GR
    SPRUNG, CL
    SIBBALD, WJ
    [J]. CRITICAL CARE MEDICINE, 1995, 23 (10) : 1638 - 1652