title: Scoring system for the prediction of severe acute pancreatitis in children.
abstract: BACKGROUND
  The lack of an accurate scoring system for pediatric acute pancreatitis could cause delays in appropriate clinical management and increase the risk of progressive life-threatening complications. We investigated a modified Ministry of Health, Labour and Welfare of Japan (JPN) scoring system that uses pediatric systemic inflammatory response syndrome (SIRS) score, age, and weight to establish a more useful scoring system for children.
  
  
  METHODS
  A retrospective chart review was conducted of pediatric patients with acute pancreatitis who were admitted to Juntendo University Hospital between 1985 and 2011. The sensitivity, specificity, and positive and negative predictive values of the pediatric JPN scoring system were calculated and then compared with those of previously developed scoring systems.
  
  
  RESULTS
  The patient group consisted of 145 patients (88 girls, 57 boys). The pediatric JPN score had greater sensitivity (80%) than the Ranson (60%), modified Glasgow (50%), and DeBanto (60%) scores. The specificity was 96% for the pediatric JPN score, 94% for the Ranson score, 99% for the modified Glasgow score, and 86% for the DeBanto score.
  
  
  CONCLUSIONS
  The pediatric JPN score can be used to predict severe acute pancreatitis during the initial medical assessment.
authors.affiliation: Department of Pediatrics, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Mitsuyoshi
authors.initials: M
authors.lastname: Suzuki
authors.forename: Nobutomo
authors.initials: N
authors.lastname: Saito
authors.forename: Nakayuki
authors.initials: N
authors.lastname: Naritaka
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nakano
authors.forename: Kei
authors.initials: K
authors.lastname: Minowa
authors.forename: Yuka
authors.initials: Y
authors.lastname: Honda
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Ohtsuka
authors.forename: Atsuyuki
authors.initials: A
authors.lastname: Yamataka
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Shimizu
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D007564:Japan / Q000453:epidemiology; D008297:Male; D019283:Pancreatitis, Acute Necrotizing / Q000175:diagnosis* / Q000453:epidemiology; D011237:Predictive Value of Tests; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012720:Severity of Illness Index
keywords: Labour and Welfare of Japan (JPN) scoring system; Ministry of Health; guideline; pediatrics; severe acute pancreatitis; severity assessment