Comparative evaluation of scales to determine severity of acute pancreatitis

The OBJECTIVE of this research was to compare the accuracy and the possibility of applying the most common scales for acute pancreatitis severity evaluation with each other as well as with the suggested scale developed specially for this disease and based on the illness severity coefficient, which is defined by objective quantitative parameters available for every practitioner.

METHODS AND METERIALS. We examined the data on 16 parameters for 760 patients suffering from acute pancreatitis, who were treated at the following 3 hospitals.

RESULTS. One of the drawbacks of all the examined scales is low sensitivity of scales with high specificity. This feature makes these scales inadequate for making decisions about the therapeutic approach for a patient.

CONCLUSION. The suggested way of defining the illness severity is entirely free of subjectivity, does not depend on surgeon's qualification and has high specificity to a concrete problem. It is worth noting that all scales except IDAP use the indicators that are not included in medical-economic standards of Russia. Therefore, the IDAP scale is best suited to address our problem.

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