title: A brief evaluation for pre-estimating the severity of gallstone pancreatitis.
abstract: BACKGROUND
  An uncomplicated and easy-to-use method of pre-estimating the severity of gallstone pancreatitis shortly after admission was required in order to direct clinicians for monitoring and/or transferring to a specialized center.
  
  
  OBJECTIVE
  To determine the role of brief assessment in pre-estimating the severity of gallstone pancreatitis at admission.
  
  
  METHODS
  Fifty-eight patients with gallstone pancreatitis were consecutively followed regarding the course of complications.
  
  
  METHODS
  Sensitivity analysis of the Biliary Ranson score (>3), the modified Imrie score (>3), the acute physiology and chronic health evaluation II (APACHE-II) score (>5), white blood cell count (>14.5 x10(3)/dL), blood urea nitrogen (>12 mg/dL), random blood sugar (>150 mg/dL), pulse rate (>100 beats/min) and combinations of the four brief assessments were compared using the z-test. Two-tailed P values less than 0.05 were considered statistically significant.
  
  
  RESULTS
  Both the Biliary Ranson score >3 and the modified Imrie score >3 had a sensitivity of 96.4% and a specificity of 96.7%. Both the APACHE-II score >5 and random blood sugar >150 mg/dL had a sensitivity of 89.3% which is comparable to a Biliary Ranson score >3 and a modified Imrie score >3.
  
  
  CONCLUSIONS
  As compared to a Biliary Ranson score >3, a modified Imrie score >3 and an APACHE-II score >5, random blood sugar >150 mg/dL can be considered as an oversimplified and effective prognostic indicator at admission in patients with gallstone pancreatitis.
authors.affiliation: Department of General Surgery, One-Affiliated Hospital, Xinjiang Medical University, Urumqi, China. arwna427@yahoo.com.cn
authors.forename: Haxiaobieke
authors.initials: H
authors.lastname: Kasimu
authors.forename: Talidao
authors.initials: T
authors.lastname: Jakai
authors.forename: Chen
authors.initials: C
authors.lastname: Qilong
authors.forename: Jiasharete
authors.initials: J
authors.lastname: Jielile
mesh_terms: D018806:APACHE; D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D001806:Blood Urea Nitrogen; D005260:Female; D042882:Gallstones / Q000150:complications*; D006339:Heart Rate; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000473:pathology; D010195:Pancreatitis / Q000097:blood / Q000175:diagnosis* / Q000209:etiology; D010343:Patient Admission; D011379:Prognosis; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D055815:Young Adult
chemical_list: D001786:Blood Glucose