Comparison Between Glasgow Score and CTSI in Predicting the Severity of Acute Pancreatitis Based on Modified Atlanta Classification 2012

Abstract

Objective: To compare the Glasgow scoring system and modified CTSI scoring system regarding its ability to predict the severe nature of acute pancreatitis according to the revised Atlanta classification in a tertiary care hospital in Pakistan.

Study Design: Comparative cross-sectional study.

Place and Duration of Study: General Surgery Department, Combined Military Hospital, Rawalpindi from July 2020 to Jul 2021.

Methodology: Forty patients ranging from 30 to 70 years of age with acute pancreatitis, some of them were admitted to our hospital and others were received in the Emergency Department. Glasgow and modified CTSI scores were calculated for all cases.

Results: Glasgow and CTSI scoring systems were compared according to the Atlanta Classification. The data in our study showed a mean Glasgow score of 2.475 ± 2.975, whereas the mean CTSI score was 5.575 ± 2.458. In predicting severe acute pancreatitis using the AUC graph, the CTSI scoring system had a higher accuracy (0.994) than Glasgow score (0.987). For mild and moderately severe acute pancreatitis, both Glasgow and CTSI showed significance (p<0.01).

Conclusion: CTSI scoring is more accurate in detecting the severity of acute pancreatitis. Glasgow was close behind, but it is not an accurate indicator