›› 2012, Vol. 32 ›› Issue (3): 344-.doi: 10.3969/j.issn.1674-8115.2012.03.023

• Original article (Clinical research) • Previous Articles     Next Articles

Value of new Japanese severity score in assessment of severity and risk of severe acute pancreatitis

LIU Xiao-ying, CHEN Er-zhen   

  1. Emergency Intensive Care Unit, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Online:2012-03-28 Published:2012-03-28

Abstract:

Objective To investigate the value of new Japanese severity score in the assessment of severity and risk of severe acute pancreatitis (SAP). Methods The clinical data of patients with SAP were retrospectively analysed. New JSS was employed to predict the outcomes, prevalence of multiple organ dysfunction syndrome (MODS) and prevalence of transfer operation, and the results were compared with findings from acute physiology and chronic health evaluationⅡ (APACHEⅡ) score, Ranson score and Balthazar computed tomography severity index (CTSI) score. Results The areas under the receiver operating characteristic curve (AUCROC) were 0.88, 0.91 and 0.74 respectively (P<0.01), the values of sensitivity were 100%, 95.50% and 97.10% respectively, and the values of specificity were 69.60%, 75.80% and 46.90% respectively for new JSS in assessment of outcomes, prevalence of MODS and prevalence of transfer operation in patients with SAP. New JSS worked better than the other scoring systems in prediction of outcomes and prevalence of MODS in patients with SAP. In addition, new JSS could be used to assess the times of transfer operation, and the scores increased with the times of operation (P<0.05). Conclusion New JSS performs better in assessment of outcomes, prevalence of MODS and times of operation in patients with SAP. However, the outcomes and severity of SAP can not be evaluated with just one scoring system.

Key words: severe acute pancreatitis, new Japanese severity score, disease severity, prognosis