The severity of pancreatitis can be measured using several markers, including the Ranson criteria, the APACHE II score, and the BISAP score.
Ranson Criteria
The Ranson criteria is a system that looks at a combination of laboratory tests, physical examination, and imaging results to determine the severity of pancreatitis. The criteria consists of nine different factors, including age, white blood cell count, blood glucose, AST, calcium, BUN, LDH, hematocrit, and serum albumin. A score of three or higher indicates a high risk of mortality from pancreatitis.
APACHE II Score
The Acute Physiology and Chronic Health Evaluation (APACHE) II score is a system designed to evaluate the severity of acute illness. The score is based on 12 physiological variables, including age, temperature, respiratory rate, blood pressure, and laboratory results. A score of eight or higher indicates a high risk of mortality from pancreatitis.
BISAP Score
The Bedside Index for Severity in Acute Pancreatitis (BISAP) score is a system designed to evaluate the severity of pancreatitis. The score is based on five different variables, including age, white blood cell count, blood glucose, bilirubin, and hematocrit. A score of three or higher indicates a high risk of mortality from pancreatitis.