II. Indication
- Predicts prognosis in Acute Pancreatitis
- Initially derived from Alcoholic Pancreatitis
- Prognosis is better for other types of Pancreatitis
III. Criteria: Admission Risk Factors
- Age over 55 years old
- Blood Glucose >200
- Serum Lactate Dehydrogenase (LDH) >300
- Aspartate Aminotransferase (AST, SGOT) >250
- White Blood Cell Count >16,0000
IV. Criteria: At 48 hours Risk Factors
- Hematocrit falls >10%
- Blood Urea Nitrogen (BUN) increased >5 mg/dl
- Serum Calcium <8.0
- Arterial PO2 <60
- Base Deficit >4
- Estimated fluid sequestration >6L
V. Interpretation
- Risk factors <3: 1% mortality
- Risk factors 3-4: 15% mortality
- Risk factors 5-6: 40% mortality
- Risk factors >7: 100% mortality
VI. Efficacy
- Test Sensitivity for predicting poor outcome: 70%