30. POINTS Grade of Acute Pancreatitis A = Normal pancreas 0 B = Pancreatic enlargement 1 C = Pancreatic/peripancreatic inflammation 2 D = Single peripancreatic fluid collection 3 E = Multiple fluid collections 4 Grade E = 50% chance of developing an infection and 15% chance of death Degree of Necrosis No necrosis 0 Necrosis of one third of pancreas 2 Necrosis of one half of pancreas 4 Necrosis of more than one half 6 CT Severity Index = Grade + Degree of necrosis
31. * > 7 days in the ICU CT Severity Index = Grade of Panc. + Degree of Necrosis per Balthazar MORTALITY MORBIDITY*