ArticleAnnals of hepato-biliary-pancreatic surgery2018
Are traditional scoring systems for severity stratification of acute pancreatitis sufficient?
Article in Annals of hepato-biliary-pancreatic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Occam's razor or Hickam's dictum-COVID-19 is not a textbook aetiology of acute pancreatitis: A modified Naranjo Score appraisal.World journal of gastroenterology · 2023Pooled it
- Management and Prediction of Acute Pancreatitis Severity Using AI: A Surgical Perspective.Diagnostics (Basel, Switzerland) · 2026Review
- Evaluation of scoring systems and hematological parameters in the severity stratification of early-phase acute pancreatitis.World journal of gastroenterology · 2025Observational
- Visceral obesity anthropometric indicators as predictors of acute pancreatitis severity.Frontiers in medicine · 2025Article
- Practical approach to acute pancreatitis: from diagnosis to the management of complications.Internal and emergency medicine · 2024Review
- Predicting the severity of acute pancreatitis: Current approaches and future directions.Surgery open science · 2024Article
- The Ongoing Debate on the Use of Prophylactic Antibiotics in Acute Pancreatitis-Is There a Conclusion? A Comprehensive Narrative Review.Antibiotics (Basel, Switzerland) · 2024Review
- Heart rate variability in acute pancreatitis: a narrative review.Translational gastroenterology and hepatology · 2024Review
- Is there a role for percutaneous needle aspiration in the multimodal management of pyogenic liver abscess?Annals of translational medicine · 2023Article
- Establishment and Validation of a Nomogram Prediction Model for the Severe Acute Pancreatitis.Journal of inflammation research · 2023Article
- Development and Validation of a Dynamic Nomogram for Predicting in-Hospital Mortality in Patients with Acute Pancreatitis: A Retrospective Cohort Study in the Intensive Care Unit.International journal of general medicine · 2023Article
- Diagnosis, severity stratification and management of adult acute pancreatitis-current evidence and controversies.World journal of gastrointestinal surgery · 2022Review
- Predicting Severity of Acute Pancreatitis.Medicina (Kaunas, Lithuania) · 2022Review
- Article
- Diagnostic utility of hematological indices in predicting adverse outcomes and severity of acute pancreatitis based on BISAP and modified Glasgow score.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- The Value of RANSON Score Combined with BMI in Predicting the Mortality in Severe Acute Pancreatitis: A Retrospective Study.International journal of general medicine · 2022Article
- Neutrophil-Lymphocyte Ratio in Patients with Hypertriglyceridemic Pancreatitis Predicts Persistent Organ Failure.Gastroenterology research and practice · 2022Article
- Validation of Tokyo Guidelines 2007 and Tokyo Guidelines 2013/2018 Criteria for Acute Cholangitis and Predictors of In-Hospital Mortality.Visceral medicine · 2021Article
- 3D Laparoscopic common bile duct exploration with primary repair by absorbable barbed suture is safe and feasible.Journal of clinical and translational research · 2021Article
- Gut microbiome in acute pancreatitis: A review based on current literature.World journal of gastroenterology · 2021Review
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6 authors.
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Abstract
BACKGROUNDS/
aimsRanson's score (RS) and Glasgow score (GS) have been utilized to stratify the severity of acute pancreatitis (AP). The aim of this study was to validate RS and GS for stratifying the severity of acute pancreatitis and audit our experience of managing AP.
methodsWe conducted a retrospective review of patients treated for AP from July 2009 to September 2016. Final severity was determined using the revised Atlanta classification. Mortality and complications were analyzed.
resultsFrom July 2009 to September 2016, a total of 675 patients with a diagnosis of AP were admitted at the hospital. Of them, 669 patients who had sufficient data were analyzed. Their average age±SD was 58.7±17.4 years (range, 21-98 years). There was a male preponderance (n=393, 53.8%). A total of 82 (12.3%) patients had eventual severe pancreatitis. RS demonstrated a sensitivity of 92.7% and a specificity of 52.8% with a positive predictive value (PPV) of 21.5% and a negative predictive value (NPV) of 98.1%. GS demonstrated a sensitivity of 76.8% and a specificity of 69.2% with a PPV of 25.8% and a NPV of 95.5%. For severity prediction, areas under the curve (AUCs) for RS and GS were 0.848 (95% CI: 0.819-0.875) and 0.784 (95% CI: 0.750-0.814), respectively (
conclusionsRS has higher sensitivity, NPV and AUC for predicting severity of AP than GS.
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