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

研究成果: 雜誌貢獻回顧型文獻同行評審

77 引文 斯高帕斯(Scopus)

摘要

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
原文英語
頁(從 - 到)6049-6052
頁數4
期刊World Journal of Gastroenterology
11
發行號38
DOIs
出版狀態已發佈 - 十月 14 2005

ASJC Scopus subject areas

  • Gastroenterology

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