Assessment of Severity of Acute Pancreatitis Using Ransons Scoring System and Modified CT Severity Index

Abstract

Background: Acute pancreatitis is an acute abdominal emergency that need protracted hospital stay and intensive care. In 80% of cases it runs a mild course and rest of the patients have severe pancreatitis. It's severity is assessed by using Ranson's scoring system and Modified CT severity index. Aim:-1. To evaluate role of Ranson's scoring system and modified CT severity index in assessing severity of acute pancreatitis. 2. To correlate above scoring systems with outcome. Design and Place:-This is a prospective observational study which is conducted on patients with acute pancreatitis admitted in PG Department of Surgery, GMC, Jammu w.e.f. 1st November 2016 to 30th April 2017. Methods: 50 patients of acute pancreatitis enrolled. Ranson's criteria and modified CT severity index apply to all of them. Ranson's and modified CT severity index calculated and complications and outcome related to both scoring systems noted. Results: Out of 50 patients, 34(68%) patients have mild pancreatitis. 6(12%) patients have moderate pancreatitis. 10(20%) patients have severe pancreatitis. Conclusion: We conclude that Ranson's criteria and modified CT severity index have significant role in predicting the severity of acute pancreatitis and the chances of developing complications as regards morbidity and mortality.