Comparison of scoring systems in predicting the severity of acute pancreatitis

Core Tip

Core tip: Only a few studies have evaluated the comparison of various scoring systems including bedside index for severity in acute pancreatitis in predicting the severity of acute pancreatitis (AP) according to the revised Atlanta Classification. Based on our study, Acute Physiology and Chronic Health Evaluation (APACHE)-II score appeared to have highest accuracy for prediction of severe AP, although the predictive accuracy of APACHE-II was not significantly different compared to that of the other scoring systems, including C-reactive protein. Various scoring systems most widely used for early prediction of severity of AP showed similar predictive accuracy for severity of AP, and unique models are needed in order to achieve further improvement of predictive accuracy.