©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Crit Care Med. Nov 9, 2021; 10(6): 355-368
Published online Nov 9, 2021. doi: 10.5492/wjccm.v10.i6.355
Published online Nov 9, 2021. doi: 10.5492/wjccm.v10.i6.355
Sequential organ failure assessment score is superior to other prognostic indices in acute pancreatitis
Thomas Zheng Jie Teng, Sivaraj K Gunasekaran, Sameer P Junnarkar, Jee Keem Low, Cheong Wei Terence Huey, Vishal G Shelat, Department of General Surgery, Tan Tock Seng Hospital, Singapore 308433, Singapore
Thomas Zheng Jie Teng, Undergraduate Medicine, Lee Kong Chian School of Medicine, Singapore 308232, Singapore
Jun Kiat Thaddaeus Tan, Department of General Surgery, Singapore General Hospital, Singapore 169608, Singapore
Samantha Baey, Undergraduate Medicine, Yong Loo Lin School of Medicine, Singapore 119077, Singapore
Author contributions: All authors contributed to this paper; Shelat VG designed the overall concept and supervised the writing of the manuscript; Teng TZJ, Tan JKT, Baey S and Gunasekaran SK contributed to the writing and editing of the manuscript.
Institutional review board statement: This study was approved by the National Healthcare Group (NHG) institutional review board, reference number DSRB 2016/00825.
Conflict-of-interest statement: There are no conflicts of interest to declare.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at vgshelat@rediffmail.com.
Corresponding author: Vishal G Shelat, FRCS, MBBS, MS, Adjunct Associate Professor, Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore. vishal_g_shelat@ttsh.com.sg
Received: April 13, 2021
Peer-review started: April 13, 2021
First decision: July 27, 2021
Revised: August 10, 2021
Accepted: October 11, 2021
Article in press: October 11, 2021
Published online: November 9, 2021
Processing time: 205 Days and 23.1 Hours
Peer-review started: April 13, 2021
First decision: July 27, 2021
Revised: August 10, 2021
Accepted: October 11, 2021
Article in press: October 11, 2021
Published online: November 9, 2021
Processing time: 205 Days and 23.1 Hours
Core Tip
Core Tip: Acute pancreatitis is a common surgical emergency requiring quick evaluation of its severity to guide further management principles. Both the sequential organ failure assessment (SOFA) and 48-h Ranson scores accurately predict severity, intensive care unit admission, and mortality in acute pancreatitis (AP), with more favorable statistics for the SOFA score. Simple bedside scores such as bedside index of severity in AP and harmless AP score are practical and straightforward tests to screen out mild disease at the onset, allowing physicians to preferentially allocate resources for severe AP patients.