Identification of the patient with acute severe pancreatitis. A prospective, comparative study of the Ranson and the Salvador Zubirán National Institute of Nutrition criteria

Early detection of severe acute pancreatitis could represent a formidable task for the clinician with limited resources. We have previously proposed a series of parameters that can identify patients with severe acute pancreatitis. The aim of this prospective study was to compare Ranson criteria with...

Full description

Saved in:

Bibliographic Details
Published in:	Gaceta médica de México Vol. 134; no. 3; p. 283
Main Authors:	Uscanga-Domínguez, L F, Herrera-Asencio, E, Enriquez, J R, Vargas-Vorackova, F, Robles-Díaz, G
Format:	Journal Article
Language:	Spanish
Published:	Mexico 01-05-1998
Subjects:	Acute Disease Adolescent Adult Aged Clinical Protocols Female Humans Male Middle Aged Pancreatitis - diagnosis Prognosis ROC Curve Sensitivity and Specificity
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Early detection of severe acute pancreatitis could represent a formidable task for the clinician with limited resources. We have previously proposed a series of parameters that can identify patients with severe acute pancreatitis. The aim of this prospective study was to compare Ranson criteria with those previously described by the authors (INNSZ criteria) in 78 patients with acute pancreatitis. Sensitivity, specificity, positive and negative predictive values and accuracy were similar in both scores. We found a good correlation (r = 0.65, p < 0.001) and agreement (z = 5.0, Kappa 0.69, p < 0.001) between Ranson and INNSZ criteria. Our results allow us to propose INNSZ severity criteria as an easy and inexpensive alternative in the evaluation of patients with acute pancreatitis.
ISSN:	0016-3813