المنشور الأصلي
Ranson JHC, Rifkind KM, Roses DF, Fink SD, Eng K, Spencer FC. Prognostic signs and the role of operative management in acute pancreatitis. Identified 11 early objective signs (5 on admission, 6 at 48 h) that correlated with morbidity and mortality; mortality was ~1% with < 3 signs, ~15% with 3–4, ~40% with 5–6, and ~100% with ≥ 7.
Surgery, Gynecology & Obstetrics, 1974
الإرشادات
The full score needs 48 hours, so it cannot triage at presentation, and its discrimination is only moderate. Contemporary guidelines (ACG, IAP/APA) favour ongoing assessment of organ failure (e.g. SIRS, BISAP, the revised Atlanta classification) alongside or instead of Ranson. Use the non-gallstone cutoffs here; gallstone pancreatitis has a different criteria set.