Beduschi MG, Mello ALP, VON-Mühlen B, Franzon O. THE PANC 3 SCORE PREDICTING SEVERITY OF ACUTE PANCREATITIS.
ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA 2017;
29:5-8. [PMID:
27120730 PMCID:
PMC4851141 DOI:
10.1590/0102-6720201600010002]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/03/2015] [Accepted: 11/26/2015] [Indexed: 12/31/2022]
Abstract
Background :
About 20% of cases of acute pancreatitis progress to a severe form, leading to
high mortality rates. Several studies suggested methods to identify patients that
will progress more severely. However, most studies present problems when used on
daily practice.
Objective :
To assess the efficacy of the PANC 3 score to predict acute pancreatitis severity
and its relation to clinical outcome.
Methods :
Acute pancreatitis patients were assessed as to sex, age, body mass index (BMI),
etiology of pancreatitis, intensive care need, length of stay, length of stay in
intensive care unit and mortality. The PANC 3 score was determined within the
first 24 hours after diagnosis and compared to acute pancreatitis grade of the
Revised Atlanta classification.
Results :
Out of 64 patients diagnosed with acute pancreatitis, 58 met the inclusion
criteria. The PANC 3 score was positive in five cases (8.6%), pancreatitis
progressed to a severe form in 10 cases (17.2%) and five patients (8.6%) died.
Patients with a positive score and severe pancreatitis required intensive care
more often, and stayed for a longer period in intensive care units. The PANC 3
score showed sensitivity of 50%, specificity of 100%, accuracy of 91.4%, positive
predictive value of 100% and negative predictive value of 90.6% in prediction of
severe acute pancreatitis.
Conclusion :
The PANC 3 score is useful to assess acute pancreatitis because it is easy and
quick to use, has high specificity, high accuracy and high predictive value in
prediction of severe acute pancreatitis.
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