Validity of ranson`s score for predicting mortality and morbidity in acute pancreatitis. | [Proceedings of sheikh zayed postgraduate medical institute • 2003]

Author(s):

1. Shandana Tarique: Department of Medicine, Jinnah Hospital, Lahore, Pakistan

2. Shahid Sarwar: Department of Medicine, Jinnah Hospital, Lahore, Pakistan

3. Farrukh Iqbal: Department of Gastroenterology and Hepatology Shaikh Zayed Hospital, Lahore, Pakistan

Abstract:

Acute pancreatitis is one of the acute abdominal emergencies that need protracted hospital stay and intensive care. Degree of severity has to be assessed to gauge the severity of illness. Ranson scoring system is used to assess the severity and predict prognosis. Study was carried out to assess the validity of Ranson`s criteria in patients with acute pancreatitis. Thirty patients of acute pancreatitis were enrolled. Ranson`s criteria were applied to all of them. Patients were monitored and managed according to their condition. Out of thirty patients, 46.6% were above 55 years of age. Thirteen (43.3%) patients did not develop any complication. Ranson`s score of 0-2 was found in 15 (50%) patients, of which 2 (13.3%) died. Complications occurred in 5 (33.3%). A score of 3-4 was seen in 9 (30%) cases and survival rate was 100% despite complications. Score of 5-6 was seen in 5 (16.66%) cases. All had complications and 3 (60%) died. A score of 7-8 was found in one patient who survived. The score was insignificant in predicting the mortality with a p-value of 0.371, but had comparatively significant p-value of 0.062 in predicting development of complications. Ranson`s criteria is not significant in predicting the outcome in the form of death from acute pancreatitis though there is some significance in predicting the occurrence of complications.

Page(s): 67-70

DOI: DOI not available

Published: Journal: Proceedings of sheikh zayed postgraduate medical institute, Volume: 17, Issue: 2, Year: 2003

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