title: [Early diagnosis of mild acute pancreatitis].
abstract: OBJECTIVE
  to analyze the efficacy of early detection of patients with mild acute pancreatitis.
  
  
  METHODS
  61 patients with acute pancreatitis who do not require intensive care were analyzed. Severity of condition was assessed using integral scales, i.e. modified index of severe pancreatitis severity (MITOP), BISAP, HAPS, SOFA, SIRS, CTSI and Atlanta classification (2012).
  
  
  RESULTS
  Verification of mild course of disease according to MITOP scores ≤0.23 and BISAP scores ≤1 for the first 24 hours after admission and CTSI scores ≤3 within first 72 hours had high accuracy [AUC (CI 95%) 0.79 (0.66-0.91); 0.76 (0.66-0.87) and 0.99 (0.97-1.00) respectively], sensitivity and specificity (88.8 and 43.7%; 71.1 and 75.0%; 100 and 83.3% respectively).
  
  
  CONCLUSIONS
  MITOP and BISAP scales are reliable to diagnose early mild acute pancreatitis. Their high positive diagnostic value (81.6 and 88.8%) allows to detect patients who do not require intensive care.
authors.affiliation: Department of Hospital Surgery; Institute of Continuous Media Mechanics, Ural Branch of RAS, Perm, Russia.
authors.forename: A V
authors.initials: AV
authors.lastname: Popov
authors.affiliation: Department of General Surgery, Wagner Perm State Medical University, Russian Ministry of Health.
authors.forename: D A
authors.initials: DA
authors.lastname: Mineev
authors.affiliation: Department of Hospital Surgery; Institute of Continuous Media Mechanics, Ural Branch of RAS, Perm, Russia.
authors.forename: A I
authors.initials: AI
authors.lastname: Ershova
authors.affiliation: Department of Hospital Surgery.
authors.forename: N N
authors.initials: NN
authors.lastname: Popova
mesh_terms: D000208:Acute Disease; D000328:Adult; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D063305:Organ Dysfunction Scores; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D018579:Patient Selection; D011379:Prognosis; D015203:Reproducibility of Results; D012720:Severity of Illness Index