Risk factors identified on multivariate analysis:
(1) minor papilla sphincterotomy
(2) sphincter of Oddi dysfunction suspected
(3) history of a previous episode of ERCP-related pancreatitis
(4) age < 60 years of age
(5) >= 2 contrast injections into the pancreatic duct
(6) a trainee involved in the procedure
where:
• The odds ratio were 3.8 for sphincterotomy, 2.6 for suspected sphincter of Oddi dysfunction, and 1.5 to 2.0 for the remainder of factors.
In an attempt to develop a risk score, I assigned points as follows:
|
Risk Factor
|
Points
|
|
sphincterotomy
|
2
|
|
sphincter of Oddi dysfunction
|
1.5
|
|
history of previous episode
|
1
|
|
age < 60 years
|
1
|
|
contrast injections
|
1
|
|
trainee involvement
|
1
|
total risk score =
= SUM(points for all 6 risk factors)
