Abu-El-Haija et al reported an algorithm for grading the severity of acute pancreatitis in a pediatric patient. The authors are from multiple institutions in the United States and Canada and participants in the NASPGHAN (North American Society for Pediatric Gastroenterology Hepatology and Nutrition) Pancreas Committee
Patient selection: pediatric patient with evidence of acute pancreatitis
Parameters:
(1) non-pancreatic organ dysfunction (cardiovascular, renal, pulmonary, etc)
(2) duration of organ dysfunction in hours
(3) local complications (fluid accumulation, etc)
(4) exacerbation of prior co-morbid condition
Organ Dysfunction
Duration of Organ Dysfunction
Complications
Exacerbation Comorbid
Level of Severity
yes
< 48 hours
NA
NA
moderate
yes
>= 48 hours
NA
NA
severe
no
NA
yes
NA
moderate
no
NA
NA
yes
moderate
no
NA
no
no
mild
where:
• Organ dysfunction lasting < 48 hours is considered transient.
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