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 hours | 100% | 98.4%3-151 |
| Severity stratification within 48 hours3-150 | 100% | 19% (35) |
| Percentage of idiopathic cases | 20–25% | 32% (60) |
| Definitive treatment of gallstones in mild cases within four weeks3-152 | 100% | 33% (15/45) |
| Severe cases treated in HDU or ITU | 100% | 67% (40/60) |
| Radiological facilities available (USS, CT, angiography) | 100% | 100% |
| Dynamic CT in severe cases days 3–10 | 100% | 33% (20/60) |
| Urgent ERCP in severe gallstone pancreatitis | 100% | 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.