Prognosis-acute pancreatitis

Acute pancreatitis; an analysis of 76 cases with especial reference to clinical signs of the severity of the disease - PubMed

• Ranson’s, APACHE II: predict severity at 48 h using multiple physiolog. criteria; poor PPV

• BISAP: simple 5-point scoring system (BUN >25, impaired MS, SIRS, age >60 y, pleural effusion) used w/in first 24 h; score ≥3 predicts ↑ risk of organ failure, mortality

• CTSI: CT data at 48–72 h (fluid collect., necrosis) to predict mortality; lags behind clinical sx