Describe the mortality.
In patients without organ failure: < 1%
In patients with organ failure: ∼ 30%
Higher mortality in patients with biliary pancreatitis than in patients with alcohol-induced pancreatitis
List important predictors of severity.
Age > 55
Fall in Hct within 48 hours s
Hypocalcemia and/or hyperglycemia
Inflammatory markers: ↑↑ CRP, ↑ IL-6, ↑ IL-8
Evidence of shock and/or organ failure
↑ AST, ↑ ALT
↑ BUN, creatinine
ABG: pO2 < 60 mm Hg, metabolic acidosis with a base deficit > 4 mmol/L
CT findings: pancreatic edema, peripancreatic fluid collection, and/or necrosis of > 33% of the pancreas