Gastroenterology

Ranson's Criteria

Severity assessment for acute pancreatitis at admission and 48 hours.

At Admission

Age > 55 Years

WBC > 16.0 × 10⁹/L

Blood Glucose > 11.1 mmol/L (200 mg/dL)

Serum LDH > 350 IU/L

Serum AST > 250 IU/L

At 48 Hours

Hematocrit Fall > 10%

BUN Rise > 1.8 mmol/L (5 mg/dL)

Serum Calcium < 2.0 mmol/L (8 mg/dL)

Arterial PaO2 < 60 mmHg

Estimated Fluid Sequestration > 6 L

Mnemonics

🇬🇧 Admission: Glucose · Age · LDH · AST · WBC — "GA LAW"
🇷🇺 При поступлении: Глюкоза · Возраст · ЛДГ · АСТ · Лейкоциты — "ГВЛАЛ"
🇺🇿 Qabulda: Glyukoza · Yosh · LDH · AST · Leykotsitlar — "GYLAL"

Clinical Interpretation

Clinical Significance: A score < 3 is associated with 0-3% mortality; a score ≥ 3 indicates severe pancreatitis with mortality risk up to 50% as the score increases.