C0015 - A Comparison of Acute Pancreatitis Severity Scores in Predicting Patient Outcomes

Alisha Menon, MD¹, Yaldah Mohammad Nader, MD¹, Megan C. Buckley, DO^2
1Lenox Hill Hospital, New York, NY; ²Northwell Health, Lenox Hill Hospital, New York, NY

Introduction: Acute pancreatitis is commonly seen in the inpatient setting, and its presentation can vary widely, ranging from mild disease to a more severe presentation, which is commonly associated with a high morbidity and mortality. With the advent of pancreatitis scoring systems, however, physicians can predict certain outcomes for patients with more reliability. The primary objective of this study is to compare two new pancreatitis scoring systems in determining illness severity, complications, and need for ICU level care. The secondary objective is to determine if there is a correlation with severity and age, gender, race, etiology of pancreatitis, and insurance.

Methods: We performed a retrospective chart review of adult patients admitted with acute pancreatitis to a community hospital from 2018 to 2021. We utilized two novel scoring systems: the Chinese simple scoring system (CSSS) and the Pancreatic activity scoring system (PASS) and compared them with pre-existing and validated scoring systems: the APACHE-II scoring system, Ranson scoring system, BISAP scoring system, and Glasgow-Imrie scoring system by calculating each score. We included other variables such as length of stay, disposition (general ward, telemetry, ICU), readmission, complications, etiology of pancreatitis, presence of necrotizing pancreatitis, calcium level on Day 2, and C-reactive protein levels.

Results: The main result of this study was to determine which score for both the CSSS and PAAA risk assessments was most predictive of a need for ICU level care. Overall, a total of 16/88 of patients admitted for pancreatitis (18%) were critical enough to require ICU monitoring. Of these patient’s triaged to the ICU for treatment of pancreatitis, the average CSSS score was 253. The average PASS score of those admitted to the ICU for pancreatitis was 3.88. Patients with a length of stay greater than 7 days, were re-admitted within 30 days 55% of the time and had a CSSS and PASSS score of 243 and 3.55, respectively.

Discussion: It is important as clinicians to evaluate severity of pancreatitis when triaging patients as predicting complications can be challenging. These scoring systems have been invented and validated to help determine the level of care needed for the patient and to foresee potential complications. Our data suggests the PASS and CSSS scoring systems can be essential triage tools to better predict patient outcomes, complications, mortality, and possible need for escalation of care.


Disclosures:


Alisha Menon, MD¹, Yaldah Mohammad Nader, MD¹, Megan C. Buckley, DO². C0015 - A Comparison of Acute Pancreatitis Severity Scores in Predicting Patient Outcomes, ACG 2022 Annual Scientific Meeting Abstracts. Charlotte, NC: American College of Gastroenterology.