In this article, we will discuss the Clinical Criteria for Severity of Acute Pancreatitis. So, let’s get started.
Ranson’s criteria
1. At admission (three or more indicate severe disease)
- Age >55 years
- TLC >16000/mm3
- Blood sugar >220 mg/dL
- LDH >350 IU/L
- Aspartate amino transferase 7250 units
- Base deficit >4 mEq/L
- Fluid sequestration >6 L
Glasgow criteria
1. At admission (three or more indicate severe disease)
- Age >55 years
- PaO2 <8 kPa
- WBC > 15×109L
- Albumin <32 g/L (3.2 g%)
- Serum calcium <2 mmol/L
Ranson’s criteria
2. Initial 48 hours (development of the following indicates worse prognosis)
- Hematocrit decrease by >10%
- BUN increase by > 5 mg/dL
- Serum calcium <8 mg/dL
- PaO2 <60 mmHg
- Base deficit >5 mEq/L
Glasgow criteria
2. Initial 48 hours (development of the following indicates worse prognosis)
- Glucose >10 mmol/L
- Urea >16 mmol/L (after rehydration)
- ALT >200 U/L
- LDH >800 U/L