Case of the Month #13 - pancreatitis

Published 02/02/2022

How do we classify severity of pancreatitis?

The revised Atlanta classification quantifies severity as:1

  • Mild – absence of organ failure or complications
  • Moderate – transient organ failure or local/systemic complications without persistent organ failure
  • Severe – persistent >48 hours organ failure.

There are many other scoring systems available designed to predict complications or disease course. They have a low specificity and low positive predictive value and are therefore not sufficiently reliable to deviate from generic risk predictors such as EWS/APACHE II.2