| | | | | | The Medical Algorithms Project |
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| Chapter : | ch11. Hepatobiliary & Pancreas | Section : | Diagnosis and Prognosis of Pancreatitis | | Simplified Prognostic Criteria of Agarwal and Pitchumoni for Acute Pancreatitis | | Copyright (c) 2006-2007, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved. |
|
Overview :
Agarwal and Pitchumoni developed a simplified prognostic
score for patients with acute pancreatitis based on the clinical criteria of
Bank et al.
|
Group |
Parameter |
|
cardiac |
systolic blood pressure |
|
|
tachycardia |
|
pulmonary |
dyspnea |
|
|
PaO2 |
|
renal |
urinary output |
|
metabolic |
serum calcium |
|
|
serum albumin |
|
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% |
| | References: | |
Agarwal N,
Pitchumoni CS. Simplified prognostic criteria in acute pancreatitis. Pancreas.
1986; 1: 69-73.
Bank S,
Wise L, et al. Risk factors in acute pancreatitis. Am J Gastroenterol. 1983; 78:
637-640.
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