Comparison of Different Scoring System in Predicting the Severity and Prognosis of Acute Pancreatitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Introduction:Various prognostic scoring systems have been used, all aimed at predicting persistent organ failure, particularly respiratory, cardiac and renal. Severity stratification assessments should be performed in patients at 24 hours, 48 hours and 7 days after admission. Acute pancreatitis is one of the most common gastrointerological diseases. The annual incidence may range from 5-50/100000 populations worldwide. The disease may occur at any age, with peak in young man and older women. Objective:To determine the best prognostic indicator in acute pancreatitis comparing Ranson, Glasgow and Multiple organ system failure (MOSF) systems.To assess the prognostic accuracy of Ranson, Glasgow and Multiple Organ System Failure scoring systems in predicting the severity of acute pancreatitis. Materials and Methods:Hospital based prospective study carried out in Fishtail Hospital and Research Center Pvt. Ltd. in the period of 2 years of time (January 2016-December 2017). All patients presented to surgical out patients department (OPD) or emergency department who are diagnosed for acute pancreatitis were included. In this period total of 71 patients of acute pancreatitis were included in this study. All patients were examined and sent for laboratory investigations and radiological investigations required for the diagnosis. All statistical analysis was done using SPSS 11.5 software. Result:The mean age of thepatients was 52 years. There were female pre-dominant. Alcohol was the most common causative agent. MOSF had maximum specificity of 100% followed by Glasgow 88% and Ranson 72%. Ranson had maximum sensitivity of 46 % followed by Glasgow 36% and MOSF 23%. MOSF had maximum positive predictable value 100% followed by Glasgow 78% and Ranson 67%. Conclusion:The present study show that MOSF score can determine the prognosis of acute pancreatitis early and it has highest specificity compared to Ranson and Glasgow.
Authors and Affiliations
Dr. Pradeep Ghimire, Sandeepa Ghimire
Keywords
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- EP ID EP374305
- DOI 10.9790/0853-1705035660.
- Views 27
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