Acute Pancreatitis-A Prospective study of Estimation of Prognosis with MCTSI versus CTSI
Abstract
Introduction: CT is the imaging method of choice for assessing the extent of acute pancreatitis and for evaluating complications. This study was conducted to assess the correlation of modified CT Severity Index (MCTSI) with patient outcome in cases of acute pancreatitis (AP) and to compare it with the CT Severity Index (CTSI).
Material and methods: A prospective study of 62 cases was carried out in the Department of Radio Diagnosis, with complaint suggestive of acute pancreatitis on the basis of clinical/laboratory/ultrasonography findings/who were referred for a CECT evaluation of the abdomen and pelvis. The severity of the attack was evaluated using both the indices CT and MCTSI. Correlation between the severity of pancreatitis and the outcome parameters was calculated using the chi square test.
Results: When using MCTSI, there was significant correlation between the severity of AP and the outcome parameters such as length of hospital stay (p<0.001), occurrence of infection (p<0.001) and organ failure (p<0.001). CTSI correlated significantly with the occurrence of end organ failure (p = 0.009) and infection (p=0.042) but less so than MCTSI. In case of intervention, the CTSI (p<0.001) fared slightly better than MCTSI (p=0.001). There was no significant correlation between the severity of Acute Pancreatitis as assessed by the CTSI and the duration of hospitalization (p=0. 160).
Conclusion: The MCTSI correlates significantly with the patient outcome parameters than the CTSI and thus can be useful in predicting the prognosis in patients with acute pancreatitis at an early stage.
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References
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