The comparison of the 1992 and 2012 Atlanta classifications for assessing disease severity in patients with acute pancreatitis

Zhonghua nei ke za zhi
Wen-hua HeNonghua Lyu

Abstract

To compare the discrepancy between the new(2012) and the old (1992) Atlanta classification criteria for defining severity, organ failure and local complications in patients with acute pancreatitis (AP). Demographic, clinical and laboratory data of 2,305 consecutive AP patients with onset less than 3 days, were collected between January 2005 to December 2013 in the First Affiliated Hospital of Nanchang University. Severity, organ failure and pancreatic local complications were respectively classified by the old Atlanta classification and the new revised Atlanta classification. Multi-factor scoring system and single serum marker were recorded and calculated using the acute pancreatitis database. In 2,305 patients with AP, there were 301 cases (13.1%) diagnosed with acute respiratory failure, 136 cases (5.9%) with shock, 105 cases (4.6%) with acute renal failure, 296 cases (12.8%) with gastrointestinal bleeding, based on the old Atlanta classification criteria. According to the severity, 900 cases (39.0%) were classified as mild acute pancreatitis (MAP), 1,405 cases (61.0%) as severe acute pancreatitis (SAP). However, based on the new Atlanta classification criteria, there were 686 cases (29.8%) with acute respiratory failure, 129...Continue Reading

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