Prognostic Evaluation Between Apache II Scale and Ranson Scale in Severe Acute Pancreatitis in the Emergency Department

Abstract

Apache Abstract Introduction: Acute pancreatitis is a common disease, characterized by inflammation and destruction of the pancreas. There are multiple scales for its assessment within which are the Ranson prognostic scale and the Apache II scale. Our objective is to know the prognostic evaluation between Apache II and Ranson scales in severe acute pancreatitis in the emergency department. Objective: To know the prognostic evaluation between Apache II and Ranson scale in severe acute pancreatitis, in the emergency department. Material and methods: A retrospective, cross-sectional, comparative and observational study was carried out in patients older than 18 years with acute pancreatitis in a period of 3 months, the Apache II and Ranson scale were applied; They were classified as: mild and severe. Non-probabilistic samples, for convenience. The severity predictors were compared using the confidence intervals, area under the ROC curve (Receiver Operating Characteristics), significance level of p: <0.05%. Results: Mild pancreatitis was higher, Ranson being 39% mild, 21% grave, and Apache II scale, 57% mild, and 43% grave. The APACHE II scale has a higher sensitivity (65.52) compared to the RANSON scale (43.10). In our environment, it obtained a fairly acceptable value, compared to the Ranson scale. The APACHE II scale presented a higher sensitivity with respect to the RANSON scale.