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Ranson Criteria

Prognosis of Acute Pancreatitis

Criteria Points
At Admission:
Blood Glucose > 200 mg/dL (11.11 mmol/L) 1
Age > 55 Years 1
Serum LDH > 350 IU/L 1
Serum AST > 250 IU/100 ml 1
WBC Count > 16 × 103 cells/mm3 1
Within 48 Hours:
Calcium < 2.0 mmol/L (< 8.0 mg/dL) 1
Hematocrit ↓ > 10 % 1
PaO2 < 60 mmHg 1
BUN ↑ 1,8 mmol/L (> 5 mg/dL) 1
BE > 4 mEq/L 1
Sequestered Fluid > 6 L/48 h 1
Score Prognosis of Mortality
0 – 2 1 %
3 – 5 10 – 20 %
5 – 6 40 – 50 %
> 6 100 %

Acronyms

  • At Admission: GALAW
    • G: Glucose
    • A: Age
    • L: LDH
    • A: AST
    • W: WBC
  • Within 48 Hours: CHOBBS
    • C: Calcium
    • H: Hematocrit
    • O: Oxygen
    • B: BUN
    • B: Base Deficit
    • S: Sequestered Fluid