Table 3

Management of acute pancreatitis in Wessex compared with UK National Audit Standards13

Audit categories Audit goals Audit findings
Mortality<10% (<30% in severe cases)9.1% (17) (28% of severe cases)
Diagnosis within 48 hours100%98.4%3-151
Severity stratification within 48 hours3-150 100%19% (35)
Percentage of idiopathic cases20–25%32% (60)
Definitive treatment of gallstones in mild cases within four weeks3-152 100%33% (15/45)
Severe cases treated in HDU or ITU100%67% (40/60)
Radiological facilities available (USS, CT, angiography)100% 100%
Dynamic CT in severe cases days 3–10100%33% (20/60)
Urgent ERCP in severe gallstone pancreatitis100%41% (7/17)
  • 3-150 Using an objective method of severity stratification like Glasgow criteria, Ranson criteria, APACHE II, or C reactive protein. Note that this excludes the APACHE II scoring done by the research team on every patient.

  • 3-151 Only three cases were diagnosed after 48 hours.

  • 3-152 Cholecystectomy and bile duct clearance or in unfit patients, endoscopic sphincterotomy only.

  • CT, computed tomography; ERCP, endoscopic retrograde cholangiopancreatography; HDU, high dependency unit; ITU, intensive care unit; USS, ultrasound scan.