Pancreatitis Prognosis Criteria

Select Criteria:
Criteria at time of patient admission to hospital:
Age > 55 (1 point)
Glucose > 200 (1 point)
WBC > 16,000 (1 point)
AST > 250 (1 point)
LDH > 350 (1 point)
Criteria that may develop over the first 2 hospital days:
BUN rises more than 5 mg/dL (1 point)
Base deficit > 4 (1 point)
Hct drops 10% or greater (1 point)
PO2 < 60 (1 point)
Calcium < 8 (1 point)
Fluid sequestration > 6L (1 point)
Results: Total Criteria Point Count:
Ranson Criteria
0-2 points:Mortality is 1%
3-4 points:Mortality is 16%
5-6 points:Mortality is 40%
7-11 points:Mortality almost 100%
  1. Ranson JH, Rifkind KM, Turner JW. Prognostic signs and nonoperative peritoneal lavage in acute pancreatitis. Surg Gyne Ob. 143:209, 1976.
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