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Nigerian Journal of Surgery

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Assessment of PANC3 Score in Predicting Severity of Acute Pancreatitis

Avreen Singh Shah, Arun Kumar Gupta, Kulwant Singh Ded

Abstract


Introduction: Acute pancreatitis is inflammatory process of the pancreas  associated with local and systemic complications. At present, there are lots of scores (such as Ransons, APACHE II, bedside index for severity in acute  pancreatitis) that help us in predicting severity at the time of admission but these are time consuming or require complex calculation and are costly.

Material and Methods: PANC3 Scoring System is one of the better systems because the three criteria used (hematocrit, body mass index, and pleural effusion) are simple, easy to assess, readily available, and economic. In this prospective study, 100 cases were evaluated to see the prospects of PANC3 scoring in predicting the severity of acute pancreatitis as decided by modified Marshals score.

Results: The results showed that PANC3 score had a 96.43% specificity, 75% sensitivity, 80% positive predictive value, and 95.29% negative predictive value.

Conclusion: Hence, the PANC3 score is a cost-effective, promising score that helps in predicting the severity of acute pancreatitis leading to prompt treatment and early referral to higher center.

Keywords: APACHE score, PANC3 score, pancreas, pancreatitis, Ranson’s score




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