Comparison of Ranson, Glasgow, MOSS, SIRS, BISAP, APACHE-II, CTSI Scores, IL-6, CRP, and Procalcitonin in Predicting Severity, Organ Failure, Pancreatic Necrosis, and Mortality in Acute Pancreatitis
Table 4
Incidence of SAP, OF, PNec, ICUA, and mortality stratified by Ranson, Glasgow, MOSS, APACHE II, SIRS, BISAP scores, Procalcitonin, IL-6, and CRP.
Markers
No. (%)
%SAP
%OF
%PNec
%ICUA
%MORT
LOHS (days)
Ranson
<3
37 (51.4)
13.5 (5)
5.4 (2)
13.5 (5)
2.7 (1)
0 (0)
8.24
≥3
35 (48.6)
74.3 (26)
65.7 (23)
34.3 (12)
22.9 (8)
25.7 (9)
12.08
Total
72 (100)
43.1 (31)
34.7 (25)
23.6 (17)
12.5 (9)
12.5 (9)
10.1
Glasgow
<3
41 (56.9)
22.0 (9)
14.6 (6)
14.6 (6)
2.4 (1)
0 (0)
8.14
≥3
31 (43.1)
71.0 (22)
61.3 (19)
35.5 (11)
25.8 (8)
29.0 (9)
12.7
Total
72 (100)
43.1 (31)
34.7 (25)
23.6 (17)
12.5 (9)
12.5 (9)
10.1
MOSS
<5
30 (41.7)
23.3 (7)
13.3 (4)
16.7 (5)
0 (0)
0 (0)
8.5
≥5
42 (58.3)
57.1 (24)
50.0 (21)
28.6 (12)
21.4 (9)
21.4 (9)
11.23
Total
72 (100)
43.1 (31)
34.7 (25)
23.6 (17)
12.5 (9)
12.5 (9)
10.1
APACHE II
<8
40 (55.6)
15.0 (6)
2.5 (1)
15.0 (6)
2.5 (1)
0 (0)
8.22
≥8
32 (44.4)
78.1 (25)
75.0 (24)
34.4 (11)
25.0 (8)
28.1 (9)
12.48
Total
72 (100)
43.1 (31)
34.7 (25)
23.6 (17)
12.5 (9)
12.5 (9)
10.1
SIRS
Absent
33 (45.8)
18.2 (6)
12.1 (4)
15.2 (5)
0 (0)
0 (0)
7.84
Present
39 (54.2)
64.1 (25)
53.8 (21)
30.8 (12)
23.1 (9)
23.1 (9)
12.02
Total
72 (100)
43.1 (31)
34.7 (25)
23.6 (17)
12.5 (9)
12.5 (9)
10.1
BISAP
<2
36 (50)
22.2 (8)
13.9 (5)
19.4 (7)
5.6 (2)
2.7 (1)
7.5
≥2
36 (50)
63.9 (23)
55.6 (20)
27.8 (10)
19.4 (7)
22.8 (8)
10.2
Total
72 (100)
43.1 (31)
34.7 (25)
23.6 (17)
12.5 (9)
12.5 (9)
10.1
CTSI
<5
23 (42.6)
39.1 (9)
34.8 (8)
17.4 (4)
13.0 (3)
8.7 (2)
8.6
≥5
31 (57.4)
54.8 (17)
41.9 (13)
38.7 (12)
12.9 (4)
16.1 (5)
11.22
Total
54 (100)
48.1 (26)
38.9 (21)
29.6 (16)
13.5 (7)
13.5 (7)
9.91
Procalcitonin
<0.5 ng/mL
18 (42.9)
16.7 (3)
0 (0)
16.7 (3)
5.6 (1)
0 (0)
9.19
>0.5 ng/mL
24 (57.1)
79.7 (19)
70.8 (17)
45.8 (11)
20.8 (5)
29.2 (7)
11.5
Total
42 (100)
52.4 (22)
40.5 (17)
33.3 (14)
14.3 (6)
16.7 (7)
10.92
IL-6
<50 pg/mL
32 (53.3)
6.2 (2)
3.1 (1)
3.1 (1)
3.1 (1)
0 (0)
7.68
≥50 pg/mL
28 (46.7)
96.4 (27)
78.6 (22)
57.1 (16)
25.0 (7)
32.1 (9)
13.7
Total
60 (100)
48.3 (29)
38.3 (23)
23.6 (17)
13.3 (8)
12.5 (9)
10.69
CRP
<150 mg/L
35 (58.3)
11.4 (4)
11.4 (4)
0 (0)
5.7 (2)
8.6 (3)
8.54
≥150 mg/L
25 (41.7)
100 (25)
76.0 (19)
68.0 (17)
24.0 (6)
24.0 (6)
13.28
Total
60 (100)
48.3 (29)
38.3 (23)
23.6 (17)
13.3 (8)
12.5 (9)
10.91
SAP: severe acute pancreatitis, OF: organ failure, PNec: pancreatic necrosis, ICUA: intensive care unit admission, LOHS: length of hospital stay, MOSS: multiple organ system score, APACHE II: acute physiology and chronic health evaluation II, SIRS: systemic inflammatory response syndrome, BISAP: bedside index for severe acute pancreatitis, IL-6: interleukin 6, CRP: C-reactive protein, and CTSI: CT severity index.
