PREDICTION OF ACUTE PANCREATITIS OUTCOME USING MODIFIED CT SEVERITY INDEX
Keywords:Acute pancreatitis, MCTSI, necrotizing pancreatitis, outcome
Aims: To assess the severity of acute pancreatitis (AP) using computed tomography (CT) modified CT severity index (MCTSI) and to correlate with clinical outcome measures.
Materials and methods: After approval from institutional ethics committee, a prospective study was conducted at the department of Radiodiagnosis, JNIMS, Imphal in collaboration with department of Surgery and Medicine among 30 patients of acute pancreatitis. Consecutive sampling was used. Outcome variables were length of hospital stay, ICU admission, infection, organ failure and mortality. Acute pancreatitis severity was graded using MCTSI which included based on Grade 0, 2, 4, 6, 8 and 10. Test of significance was performed using chi-square test (Yates corrected).
Results: Mean age was 36.3±10.7 years and male predominance was seen in this study. There were 26.7% of mild, 66.7% cases of moderate and 6.7% of severe acute pancreatitis in this study according to MCTSI. Severity scores were associated with increased ICU admission and mortality in this study.
Conclusion: MCTSI is useful in outcome prediction/complications of acute pancreatitis.
Keywords: Acute pancreatitis, MCTSI, necrotizing pancreatitis, outcome