A brief evaluation for pre-estimating the severity of gallstone pancreatitis.
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.
Kasimu
Haxiaobieke
H
Department of General Surgery, One-Affiliated Hospital, Xinjiang Medical University, Urumqi, China. arwna427@yahoo.com.cn
Jakai
Talidao
T
Qilong
Chen
C
Jielile
Jiasharete
J
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
D001786:Blood Glucose