Abstract
Objective: To evaluate the contribution of Ranson scoring system and levels of CRP as a predictive factor of severe acute pancreatitis. Methods: Between November 2007 and March 2009, treated 88 patients with acute pancreatitis.
Prediction of the disease was determined monitoringis CRP together with the evaluation of the Ranson score. The criterion for prediction of severe pancreatitis was established CRP above 200 mg / l to 48hod and Ranson score by 5 or more points.
Results: Diagnosis of TAP determined in 27 cases (77.1%) CT evidence of necrosis and in 8 patients (22.9%), development of MODS. Ranson's method was predicted TAP 24 x, of which the diagnosis was confirmed by TAP 17x and 7x excluded.
Examination of predicted TAP CRP in 40 cases and it was really up to 29x TAP and 11 XO LAP. Conclusion: In our sample, the level of CRP seems to be a better predictive factor for TAP than Ranson's assessment, TAP correctly predicted in 82.9%, while according to Ranson only 48.6%.