Balthazar computed tomography severity index is superior to Ranson criteria and APACHE II scoring system in predicting acute pancreatitis outcome

Ting-Kai Leung, Chi-Ming Lee, Shyr Yi Lin, Hsin Chi Chen, Hung Jung Wang, Li Kuo Shen, Ya Yen Chen

Research output: Contribution to journalArticlepeer-review

77 Citations (Scopus)

Abstract

Aim: Acute pancreatitis (AP) is a process with variable involvement of regional tissues or organ systems. Multifactorial scales included the Ranson, Acute Physiology and Chronic Health Evaluation (APACHE II) systems and Balthazar computed tomography severity index (CTSI). The purpose of this review study was to assess the accuracy of CTSI, Ranson score, and APACHE II score in course and outcome prediction of AP. Methods: We reviewed 121 patients who underwent helical CT within 48 h after onset of symptoms of a first episode of AP between 1999 and 2003. Fourteen inappropriate subjects were excluded; we reviewed the 107 contrast-enhanced CT images to calculate the CTSI. We also reviewed their Ranson and APACHE II score. In addition, complications, duration of hospitalization, mortality rate, and other pathology history also were our comparison parameters. Results: We classified 85 patients (79%) as having mild AP (CTSI

Original languageEnglish
Pages (from-to)6049-6052
Number of pages4
JournalWorld Journal of Gastroenterology
Volume11
Issue number38
Publication statusPublished - Oct 14 2005

Keywords

  • Acute pancreatitis
  • APACHE II score
  • Balthazar computed tomography severity index
  • Ranson score

ASJC Scopus subject areas

  • Gastroenterology

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