Ueda et al developed a simple prognostic score (SPS) for patients with acute pancreatitis. This can help identify patients who may benefit from more aggressive management. The authors are from Kobe and Kinki Universities in Japan.
Parameters:
(1) serum blood urea nitrogen in mg/dL
(2) serum LDH in IU/L
(3) contrast-enhanced CT findings
Parameter
Finding
Points
serum BUN
< 25 mg/dL
0
>= 25 mg/dL
1
serum LDH
< 900 IU/L
0
>= 900 IU/L
1
CT findings
pancreatic necrosis present
1
pancreatic necrosis absent
0
where:
• Pancreatic necrosis on a contrast-enhanced CT scan was defined as an area of uneven density, which indicates hypoperfusion.
simple prognostic score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the higher the mortality.
Total Score
Mortality
0
2%
1
18%
2
48%
3
67%
Limitations:
• The method and reference range for serum LDH is not given.
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