AI Article Synopsis
- Acute pancreatitis (AP) is a common condition seen in emergency departments, requiring accurate assessment of its severity for proper patient admission decisions.* -
- The review compares various scoring systems and criteria such as Ranson, Glasgow, APACHE II, and others to predict the severity of AP and assist emergency clinicians in risk stratification.* -
- Effective scoring methods like BISAP and HAPS can help emergency physicians quickly evaluate patient outcomes within the first 24 hours, improving decision-making for treatment and admission.*
Article Abstract
Background: Acute pancreatitis (AP) is a common presentation in the emergency department (ED). Severity of pancreatitis is an important consideration for ED clinicians making admission judgments. Validated scoring systems can be a helpful tool in this process.
Objective: The aim of this review is to give a general outline on the subject of AP and compare different criteria used to predict severity of disease for use in the ED.
Discussion: This review updates the classifications and scoring systems for AP and the relevant parameters of each. This article assesses past and current scoring systems for AP, including Ranson criteria, Glasgow criteria, Acute Physiology and Chronic Health Evaluation II (APACHE II), computed tomography imaging scoring systems, Bedside Index of Severity in Acute Pancreatitis (BISAP) score, Panc 3, Harmless Acute Pancreatitis Score (HAPS), and the Japanese Severity Score. This article also describes the potential use of single variable predictors. Finally, this article discusses risk factors for early readmission, an outcome pertinent to emergency physicians. These parameters may be used to risk-stratify patients presenting to the ED into mild, moderate, and severe pancreatitis for determination of appropriate disposition.
Conclusion: Rapid, reliable, and validated means of predicting patient outcome from rapid clinical assessment are of value to the emergency physician. Scoring systems such as BISAP, HAPS, and single-variable predictors may assist in decision-making due to their simplicity of use and applicability within the first 24 h.
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| http://dx.doi.org/10.1016/j.jemermed.2015.02.018 | DOI Listing |
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