Computed tomography (CT) grading of severity
Modified from the World Association guidelines3 and based on Balthazar and colleagues.26 | |
CT grade | |
(A) Normal pancreas | 0 |
(B) Oedematous pancreatitis | 1 |
(C) B plus mild extrapancreatic changes | 2 |
(D) Severe extrapancreatic changes including one fluid collection | 3 |
(E) Multiple or extensive extrapancreatic collections | 4 |
Necrosis | |
None | 0 |
<One third | 2 |
>One third, <one half | 4 |
>Half | 6 |
CT severity index = CT grade+necrosis score | |
Complications | |
0–3 | 8% |
4–6 | 35% |
7–10 | 92% |
Deaths | |
0–3 | 3% |
4–6 | 6% |
7–10 | 17% |