MDCalc

Ranson's Criteria for Pancreatitis Mortality

Estimates mortality of patients with pancreatitis, based on initial and 48-hour lab values.

On Admission

WBC >16k

Age >55 years

Glucose >200 mg/dL (>11.1 mmol/L)

AST >250

LDH >350

48 Hours Into Admission

Hct drop >10% from admission

BUN increase >5 mg/dL (>1.79 mmol/L) from admission

Ca <8 mg/dL (<2 mmol/L) within 48 hours

Arterial pO2 <60 mmHg within 48 hours

Base deficit (24 - HCO3) >4 mg/dL within 48 hours

Fluid needs >6 L within 48 hours

Result:

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Management

Helps determine the disposition of the patient, with a higher score corresponding to a higher level of care.

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