Prediction of Severity of Acute Pancreatitis Using Total Serum Calcium and Albumin-Corrected Calcium: A Prospective Study in Tertiary Center Hospital in Nepal

Introduction. Total calcium (TC) and albumin-corrected calcium (ACC) are easily accessible AP severity tests in the Primary Health Care Center of Nepal. &e aim of the study was to evaluate TC and ACC as prognostic severity markers in acute pancreatitis (AP). Methods. All patients admitted in Tribhuvan University Teaching Hospital with the diagnosis of AP were studied prospectively over a period of one year from January 2015 to January 2016. TC and ACC were measured in the 5rst 24 hours of admission in each patient. &e modi5ed Marshall score was determined at admission and at 48 hours and at any point of time during admission as per the need of the patient. Severity of acute pancreatitis was de5ned as per the Revised Atlanta Classi5cation 2012. Results. 80 patients of AP were included in the study. Among them, 14% were categorized as having severe AP. &e mean total calcium was 8.22, 7.51, and 6.98 for mild, moderate, and severe AP, respectively, which was signi5cant at 0.001. Conclusion. TC and ACC, measured within the 5rst 24 hours, are useful severity predictors in acute pancreatitis.