Comparison of Ranson Criteria and HAPS Score for Prognosis of Patients with Clinical Monitoring due to Non-Biliary Acute Pancreatitis

Abstract

Objective: In our study, we aimed to compare the reliability of the Harmless Acute Pancre-atitis Score (HAPS) score with the widespread, commonly used and reliable scoring system of the Ranson score in terms of prognosis prediction for non-biliary acute pancreatitis (AP) cases. Methods: The study included 73 patients with diagnosis of non-biliary AP with mean age 48 years, admitted for clinical follow-up from January 2016 to June 2021. The Ranson and HAPS scores and clinical progression were compared. For clinical progression, duration of admission, final outcome, and presence of local or systemic complications were assessed. Results: When HAPS and Ranson scores are compared, there was no statistically significant difference identified in the prognosis predictions for patients (p>0.05). Conclusion: The Ranson scoring system, a scoring system with high reliability, is completed in 48 h, while the HAPS score is calculated with three criteria assessed on the patient’s initial clinical admission. The HAPS score, with convenient use, was identified to be as reliable as the Ranson score for prognosis prediction of both mild and severe cases and may be safely used for prognosis of non-biliary AP cases in situations, where the Ranson score cannot be used. ABSTRACT