THE HARMLESS ACUTE PANCREATITIS SCORE (HAPS

ABSTRACT
Aims & objectives: As severe acute pancreatitis patients needs intensive care unit management while less severe
cases are managed in General ward10. The aim of this study is to evaluate a simple clinical algorithm to identify mild
cases of acute pancreatitis which do not require ICU management.
Method: This is a descriptive study including 84 patients admitted to gastroenterology unit HAYAT ABAD MEDICAL
COMPLEX from 06-04-2011 to 12-03-2013. From initial evaluation of patients, 3 parameters i.e. No Guarding or Rebound
tenderness, Normal Haematocrit level, & normal Serum Createnine Level are combined to from HARMLESS ACUTE
PANCREATITIS SCORE (HAPS). This shows the strongest prediction of Non severe acute pancreatitis.
Results: HAPS correlated with non severe course of the disease and correctly identified harmless course in 70(97.2%)
out of 72.
Conclusion: HAPS identifies patients, whose disease will follow mild course with 97.2% accuracy, with in 30 to 60
minutes of admission. These patients can be managed in general ward rather than in ICU & hence will reduce hospital’s
expenses in managing such patients.
Keywords: Acute pancreatitis, Guarding, Rebound tenderness, Createnine, Haematocrit.