Simplified Prognostic Criteria of Agarwal and Pitchumoni for Acute Pancreatitis

Agarwal and Pitchumoni developed a simplified prognostic score for patients with acute pancreatitis based on the clinical criteria of Bank et al.

Parameter	Finding during initial 48 hours	Points
systolic blood pressure	< 90 mm Hg	1
	>= 90 mm Hg	0
tachycardia	> 130 beats per minute	1
	<= 130 beats per minute	0
dyspnea	yes	1
	no	0
PaO2	< 60 mm Hg	1
	>= 60 mm Hg	0
urinary output	< 50 mL per hour	1
	>= 50 mL per hour	0
calcium	< 8 mg/dL	1
	>= 8 mg/dL	0
albumin	< 3.2 g/dL	1
	>= 3.2 g/dL	0

simplified prognostic score =

= SUM(points for 7 parameters)

Interpretation:

• minimum score = 0

• maximum score = 7

• A score >= 1 is associated with increased complications.

Prognostic Score	Percent Complications
0	7.5%
>= 1	47.8%

To read more or access our algorithms and calculators, please log in or register.