Evaluation of scoring systems and hematological parameters in the severity stratification of early-phase acute pancreatitis

doi:10.3748/wjg.v31.i15.105236

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World Journal of Gastroenterology

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World J Gastroenterol. Apr 21, 2025; 31(15): 105236
Published online Apr 21, 2025. doi: 10.3748/wjg.v31.i15.105236

Table 2 Basic characteristics in patients with acute pancreatitis

Variables	MAP	MSAP	SAP	P value
Variables	MAP	MSAP	SAP	All group	1 vs 2	2 vs 3
WCC (× 10⁹/L)	10.2 (7.90-12.70)	13.05 (9.80-16.25)	13.41 ± 4.51	< 0.001	< 0.001	< 0.001^a
Platelet (× 10⁹/L)	227.58 ± 67.77	215.50 (168.00-256.25)	213.72 ± 77.64	0.267	/	/
CRP_i (mg/L)	2.70 (0-19.30)	8.55 (1.70-75.95)	9.95 (0.83-73.35)	< 0.001	< 0.001	1.000
CRP₄₈ (mg/L)	34.10 (4.60-91.40)	119.50 ± 70.00	166.33 ± 88.67	< 0.001	< 0.001	0.125
HCT (%)	42.77 ± 5.05	43.29 ± 5.47	43.42 ± 6.27	0.562	/	/
RDW	13.20 (12.80-13.80)	13.50 (12.90-14.20)	13.85 (13.20-14.65)	< 0.001	0.178	0.102
GLU (mmol/L)	6.66 (5.40-8.72)	8.45 (6.42-12.04)	10.28 (7.48-14.33)	< 0.001	< 0.001	0.326
BUN (mmol/L)	4.53 (3.55-5.59)	4.86 (3.63-6.32)	5.32 (4.18-6.29)	0.019	0.211	1.000
Ca²⁺ (mmol/L)	2.23 ± 0.15	2.14 ± 0.16	1.96 ± 0.34	< 0.001	< 0.001	< 0.001^a
AST (IU/L)	25.00 (17.90-68.00)	34.65 (17.00-138.25)	41.00 (22.00-352.70)	0.067	/	/
Creatinine (mg/dL)	63.00 (52.20-78.00)	67.00 (55.75-87.00)	65.50 (54.25-84.25)	0.082	/	/
LDH	224.00 (189.00-277.00)	250.00 (198.50-426.75)	299.50 (228.25-414.25)	< 0.001	0.031	0.080
D dimer	195.00 (105.00-356.00)	358.50 (173.25-967.50)	467.00 (211.50-859.25)	< 0.001	< 0.001	0.782
Triglyceride	1.86 (1.05-8.44)	2.33 (1.06-17.50)	2.45 (1.21-20.99)	0.052	/	/
NLR	5.61 (3.40-9.89)	8.73 (5.21-14.20)	10.23 (6.71-16.49)	< 0.001	< 0.001	0.546
LMR	2.53 (1.60-3.69)	1.84 (1.01-3.22)	1.64 (0.98-3.01)	< 0.001	0.003	1.000
PLR	153.37 (113.33-230.19)	183.02 (115.48-262.88)	201.41 (131.94-297.87)	0.044	0.475	0.902
PNI_i	50.7 (46.45-54.55)	49.61 ± 8.65	48.83 (41.29-52.75)	0.035	0.299	1.000
PNI₄₈	43.37 ± 5.40	38.38 ± 5.68	34.43 ± 3.87	< 0.001	< 0.001	< 0.001^a
APACHE II	5.00 (3.00-6.00)	7.50 (5.00-10.00)	9.00 (6.75-13.25)	< 0.001	< 0.001	0.046^a
SOFA	0 (0-1.00)	1.00 (0-3.00)	2.00 (1.00-4.00)	< 0.001	< 0.001	0.011^a
BISAP	0 (0-1.00)	2.00 (1.00-2.00)	2.00 (2.00-3.00)	< 0.001	< 0.001	0.014^a
CTSI	2.00 (2.00-3.00)	4.00 (3.00-5.00)	6.00 (5.00-6.25)	< 0.001	< 0.001	0.004^a
Ranson	1.00 (0-2.00)	3.00 (2.00-4.00)	4.50 (3.00-6.00)	< 0.001	< 0.001	0.001^a

^aP < 0.05.

MAP: Mild acute pancreatitis; MSAP: Moderately severe acute pancreatitis; SAP: Severe acute pancreatitis; WCC: White cell count; CRPi: C-reactive protein measured at admission; CRP₄₈: C-reactive protein measured within 48 hours; RDW: Red cell distribution width; HCT: Hematocrit; GLU: Glucose; BUN: Blood urea nitrogen; AST: Aspartate aminotransferase; LDH: Lactate dehydrogenase; NLR: Neutrophil-lymphocyte ratio; LMR: Lymphocyte-monocyte ratio; PLR: Platelet-lymphocyte ratio; PNI_i: Prognostic nutritional index measured at admission; PNI₄₈: Prognostic nutritional index measured within 48 hours; APACHE II: Acute Physiology and Chronic Health Evaluation II; SOFA: Sequential organ failure assessment; BISAP: Bedside index of severity in acute pancreatitis; CTSI: Computed tomography severity index.

Citation: Shi PN, Song ZZ, He XN, Hong JM. Evaluation of scoring systems and hematological parameters in the severity stratification of early-phase acute pancreatitis. World J Gastroenterol 2025; 31(15): 105236
URL: https://www.wjgnet.com/1007-9327/full/v31/i15/105236.htm
DOI: https://dx.doi.org/10.3748/wjg.v31.i15.105236