II. Indications

  1. Evaluation of acute Pancreatitis Prognosis and severity in first 48 hours of admission

III. Criteria

  1. Arterial oxygen partial pressure < 60 mmHg (8.0 kPa)
  2. Age > 55 years
  3. White Blood Cell Count >15 x10^3/mm3
  4. Serum Calcium <8.0 mg/dl (2.0 mmol/L)
  5. Blood Urea Nitrogen 44 mg/dl (16 mmol/L)
  6. Blood Glucose >180 mg/dl (10 mmol/L)
  7. Serum Albumin <3.2 g/dl (32 g/L)
  8. Lactate Dehydrogenase > (600 IU/L)

IV. Criteria: Mnemonic Pancreas

  1. Pa02 decreased
  2. Age increased
  3. Neutrophilia
  4. Calcium decreased
  5. Renal Urea increased
  6. Enzymes (Lactate Dehydrogenase) increased
  7. Albumin low
  8. Sugar Glucose increased

V. Interpretation

  1. Severe Pancreatitis
    1. More than 3 criteria present within first 48 hours of presentation

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