DeBanto et al reported a scoring system for acute pancreatitis in a pediatric patient. The authors are from the University of Kentucky.
Patient selection: pediatric patient with acute pancreatitis
Parameters:
(1) age in years
(2) body weight in kilograms
(3) admission WBC count per microliter
(4) admission serum LDH in U/L
(5) 48-hour trough serum total calcium in mg/dL
(6) 48-hour trough serum albumin in g/dL
(7) 48-hour fluid sequestration
(8) 48-hour rise in serum UN in mg/dL
48 hour rise in serum UN =
= (serum UN at 48 hours) - (serum UN on admission)
|
Parameter
|
Finding
|
Points
|
|
age in years
|
< 7 years
|
1
|
|
|
>= 7 years
|
0
|
|
body weight
|
< 23 kg
|
1
|
|
|
>= 23 kg
|
0
|
|
admission WBC
|
<= 18,500 per µL
|
0
|
|
|
> 18,500 per µL
|
1
|
|
admission LDH
|
<= 2,000 U/L
|
0
|
|
|
> 2,000 U/L
|
1
|
|
48-hour trough calcium
|
< 8.3 mg/dL
|
1
|
|
|
>= 8.3 mg/dL
|
0
|
|
48-hour trough albumin
|
< 2.6 g/dL
|
1
|
|
|
>= 2.6 g/dL
|
0
|
|
fluid sequestration
|
<= 75 mg/kg
|
0
|
|
|
> 75 mg/kg
|
1
|
|
rise in UN
|
<= 5 mg/dL
|
0
|
|
|
> 5 mg/dL
|
1
|
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 8
• A score >= 3 was associated with severe disease.
|
Score
|
Severe
|
Risk
|
|
0 to 2
|
8.6%
|
low
|
|
3 or 4
|
38.5%
|
intermediate
|
|
5 to 7
|
80%
|
high
|
