PMID: 2489025Nov 1, 1989Paper

Prediction of severity of acute pancreatitis: an alternative approach

Gut
S T FanJ Wong

Abstract

Admission laboratory data of 203 patients suffering from acute pancreatitis were analysed to search for a simpler method of prediction of severity than the traditional multifactor prognostic scoring system. By discriminant analysis, admission serum urea and plasma glucose were identified to be factors with independent significance in predicting severity. If the presence of either factor higher than the cutoff point (urea greater than 7.4 mmol/l, glucose greater than 11.0 mmol/l) was considered as an indication of severe disease, then the sensitivity of this method was 75.0%, specificity 80.3% and the accuracy 79.3%. The predictive ability of this method was comparable with the Glasgow multifactor scoring system when the latter was also used to grade severity of our patients. It has the advantage, however, of simplicity and the ability of predicting severity at the time of admission.

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Citations

Sep 12, 2000·Current Gastroenterology Reports·L K Gates
Aug 9, 2001·Journal of the American College of Surgeons·N Munoz-BongrandP Valleur
Jan 28, 1993·The New England Journal of Medicine·S T FanJ Wong
Aug 1, 1994·Acta Anaesthesiologica Scandinavica·M NiskanenE Saarela
May 1, 1994·Journal of Gastroenterology and Hepatology·S T Fan
Dec 1, 1990·Gut·A Arora, S K Acharya
Jul 18, 2002·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·P G LankischA B Lowenfels
May 16, 2003·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Paul Georg LankischAlbert B Lowenfels
Apr 7, 2009·Gastroenterology·Bechien U WuPeter A Banks
Mar 26, 2009·Clinical Biochemistry·Joon Hyuck ChoiSang Don Choi
Apr 28, 2009·European Journal of Internal Medicine·A Gonzálvez-GaschC Guijarro
Jan 7, 2009·The British Journal of Surgery·R MofidiR W Parks
Jul 1, 1993·The American Journal of Medicine·L RabeneckC K Wells
Sep 1, 1993·American Journal of Surgery·S T FanJ Wong
May 1, 2015·ANZ Journal of Surgery·Yong Hui Alvin TanSu-Ming Tan
Jul 4, 2002·The American Journal of Gastroenterology·Dhiraj YadavC S Pitchumoni
Jan 1, 1993·Annales Françaises D'anesthèsie Et De Rèanimation·M TanguyJ P Bleichner
Jun 1, 1994·International Journal of Pancreatology : Official Journal of the International Association of Pancreatology·D I Heath, C W Imrie
Feb 1, 1996·International Journal of Pancreatology : Official Journal of the International Association of Pancreatology·G TalaminiG Cavallini
Jan 28, 1998·International Journal of Pancreatology : Official Journal of the International Association of Pancreatology·D I HeathA K Li

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