A retrospective study (2003-2007) confirms the limited utility of severity scores in pediatric pancreatitis (JPGN 2012: 55: 266-67). The authors collected data from 48 children; 13 were considered to have severe acute pancreatitis (AP).

Three clinical scores, Ranson, Glasgow modified, and DeBanto, were compared; in addition, the Balthazar computed tomography (BCT) severity index was examined.  Based on their cohort, the clinical scoring systems had a specificity of about 85% but a poor sensitivity of about 55% (53-62%).  The BCT had a sensitivity of 80% and a specificity of 86%. Though, to limit radiation exposure, ultrasonography is preferred over routine use of CT scanning for most pediatric patients.

These data indicate that it is not necessary to remember Ranson’s criteria (or to download a app for that).