Pancreatitis Prognosis

By Dr Ananya Mandal, MD

Several scoring systems are used to determine the severity of pancreatitis. Examples of these systems include Glasgow, BISAP, Apache II and Ranson.

Using the modified Glasgow system as an example, a case of pancreatitis can be considered severe if at least three of the following apply:

  • A PO2 oxygen level of less than 60 mmHg
  • Age older than 55 years
  • A white blood cell count of more than 15
  • A calcium level below 2 mmol/L
  • A urea level higher than 16 mmol/L
  • A lactate dehydrogenase (LDH) level higher than 600 iu/L
  • Aspartate transaminase (AST) level higher than 200 iu/L
  • An albumin level below 32 g/L
  • A glucose level higher than 10 mmol/L.

The mnemonic PANCREAS can be used to remember the above, as shown below:

P for PO2 oxygen
A for age over 55
N for neutrophilia (excess white blood cells)
C for calcium level
R for renal urea level
E for the enzymes LDH and AST
A for albumin level
S for blood sugar level

Further Reading

Last Updated: Sep 10, 2014

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