Criteria | Predictors |
Modified Atlanta criteria 2012 (Banks 2012) |
Mild acute pancreatitis No organ failure and no local or systemic complications Moderately severe acute pancreatitis Organ failure that resolves within 48 hours (transient organ failure) and/or local/systemic complications without persistent organ failure Severe acute pancreatitis Persistent organ failure (> 48 hours) – single or multiple |
Atlanta criteria 1992 (Bradley 1993) | Early prognostic signs: Ranson's > 3; APACHE‐11 score > 8 Organ failure and/or Local complications: necrosis, abscess, pseudocyst |
UK guidelines (2005) (UK 2005) |
Severity: Atlanta 1992 Prediction of severity:
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Ranson’s score/criteria (Ranson 1974) |
Baseline: age > 55 years, WBC count > 16,000/mm3, glucose > 200 mg/dL, LDH > 350U/L, AST > 250 U/L During initial 48 hours: HCT decrease of > 10 % increase in volume ; BUN increase of > 5 mg/dL; Ca2+< 8 mg/dL, PaO2 < 60 mmHg, base excess < 4 mEq/L; fluid sequestration > 6 L |
Glasgow score/criteria (Blamey 1984) |
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APACHE II (Knaus 1985) | Combination of acute physiology score, age and chronic health points |
CTSI (CT severity index) (Balthazar 1990) | Based on CT grade (Balthazar Ranson grading system) and CT evidence of necrosis |
Determinant‐based classification (DBC) (Dellinger 2012) |
Mild acute pancreatitis No organ failure AND no (peri)pancreatic necrosis Moderate acute pancreatitis Transient organ failure AND/OR sterile (peri)pancreatic necrosis Severe acute pancreatitis Persistent organ failure OR infected (peri) pancreatic necrosis Critical acute pancreatitis Persisent organ failure AND infected (peri) pancreatic necrosis |