[Identification of the patient with acute severe pancreatitis. A prospective, comparative study of the Ranson and the Salvador Zubirán National Institute of Nutrition criteria].
Early detection of severe acute pancreatitis could represent a formidable task for the clinician with limited resources. We have previously proposed a series of parameters that can identify patients with severe acute pancreatitis. The aim of this prospective study was to compare Ranson criteria with those previously described by the authors (INNSZ criteria) in 78 patients with acute pancreatitis. Sensitivity, specificity, positive and negative predictive values and accuracy were similar in both scores. We found a good correlation (r = 0.65, p < 0.001) and agreement (z = 5.0, Kappa 0.69, p < 0.001) between Ranson and INNSZ criteria. Our results allow us to propose INNSZ severity criteria as an easy and inexpensive alternative in the evaluation of patients with acute pancreatitis.
Departamento de Gastroenterología, Instituto Nacional de la Nutrición Salvador Zubirán, Tlálpan, México, DF.
L F
LF
Uscanga-Domínguez
E
E
Herrera-Asencio
J R
JR
Enriquez
F
F
Vargas-Vorackova
G
G
Robles-Díaz
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis*; D011379:Prognosis; D012372:ROC Curve; D012680:Sensitivity and Specificity
La identificación del enfermo con pancreatitis aguda grave. Un estudio prospectivo, comparativo entre los criterios de Ranson y los del Instituto Nacional de la Nutrición Salvador Zubirán.