Ranson's Criteria

Estimate mortality in patients with pancreatitis.

Questions

1.Age? (Measured at Admission)

2.WBC? (Measured at Admission)

3.Glucose? (Measured at Admission)

4.LDH? (Measured at Admission)

5.AST? (Measured at Admission)

6.Hematocrit Fall? (Measured at 48 hours after presentation)

7.Urea Rise? (Measured at 48 hours after presentation)

8.Calcium? (Measured at 48 hours after presentation)

9.pO2? (Measured at 48 hours after presentation)

10.Base Deficit? (Measured at 48 hours after presentation)

11.Fluid Sequestration? (Measured at 48 hours after presentation)

About

Ranson's criteria is one of the first scoring systems used to assess prognosis in acute pancreatitis. It consists of 11 parameters,5 assessed at admission and 6 more during the next 48 hours

The criteria are well known and of historical interest, though a meta-analysis of 110 studies found the Ranson score to be a poor predictor of severity and performed no better than clinical judgement.

References

Ranson JHC, Rifkind KM, Roses DF et al.

Objective early identification of severe acute pancreatitis.

American Journal of Gastroenterology 1974, 61 (6): 443-51

Bernardinis M, Violi V, Roncoroni L, Boselli AS, Giunta A, Peracchia A.

Discriminant power and information content of Ranson's prognostic signs in acute pancreatitis: a meta-analytic study.

Critical Care Medicine 1999, 27 (10): 2272-83

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1. Age? (Measured at Admission)

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