OBJECTIVE: To judge the utility of selected scales to prognosticate the severity and risk for death among patients with acute pancreatitis (AP) according to the revised Atlanta classification published in 2012. Acute Physiology and Chronic Health Evaluation (APACHE) II (area under the curve [AUC] 0.724 [95% CI 0.655 to 0.793]), followed by BISAP (AUC 0.693 [95% CI 0.622 to 0.763]). In prognosticating a moderate versus moderate course of AP, the CT severity index proved to be the most decisive (AUC 0.819 [95% CI 0.767 to 0.871]). Regarding prognosis for death, APACHE II had the highest predictive value (AUC 0.726 [95% CI 0.621 to 0.83]); however, a similar sensitivity was observed using the BISAP scale (AUC 0.707 [95% CI 0.618 to 0.797]). CONCLUSIONS: Scoring systems used in prognosticating the course of the disease vary with regard to sensitivity and specificity. The CT severity index scoring system showed the highest precision in prognosticating moderately severe AP (as per the revised Atlanta criteria, 2012); however, in prognosticating a 7759-35-5 IC50 severe course of disease and mortality, APACHE II proved to have the ideal predictive worth. Keywords: Severe pancreatitis, Scales, Intensity of illeness index Rsum OBJECTIF : valuer lutilit dchelles slectionnes put tablir le pronostic de gravit et de risque de dcs chez les sufferers ayant une pancratite aigu? (PA) selon la classification rvise de lAtlanta publie en 2012. MTHODOLOGIE : Les chercheurs ont analys les donnes prospectives family members aux sufferers hospitaliss en raison dune PA. Lanalyse finale incluait 1 014 sufferers. Ils ont calcul lindice clinique de gravit de pancratite aigu? (ICGPA), les ratings Panc 3 et les chelles de Ranson au moyen des donnes auto tires des 24 premires heures suivant lhospitalisation. RSULTATS : Une PA bnigne a t diagnostique dans 822 cas (81,1 %), une PA modre dans 122 cas (12 %) et une PA grave dans 70 cas (6,9 %), tandis que 38 sufferers (3,7 %) sont dcds. La chollithiase (34 %) et la consommation extreme dalcool (26,7 %) taient les principales causes de PA. Les chercheurs ont observ une rcurrence de PA chez 244 sufferers (24,1 %). Pour tablir le pronostic de gravit de la PA, lvaluation de ltat de sant chronique et physiologique aigu? (APACHE) II (aire sous la courbe [ASC] 0,724 [95 % Artn IC 0,655 0,793]) tait lchelle la plus utile, suivie de lICGPA (ASC 7759-35-5 IC50 0,693 [95 % IC 0,622 0,763]). Pour tablir le pronostic dune PA volution modre ou bnigne, lindice de gravit tomodensitomtrique 7759-35-5 IC50 sest rvl le plus dcisif (ASC 0,819 [95 % IC 0,767 0,871]). lgard du pronostic de dcs, le rating APACHE II avait la valeur prdictive la plus leve (ASC 0,726 [95 % IC 0,621 0,83]). Cependant, les chercheurs ont observ que lchelle ICGPA (ASC 0,707 [95 % IC 0,618 0,797]) avait une sensibilit similaire. CONCLUSIONS : Les systmes de pointage put tablir le pronostic de lvolution pathologique varient en matire de sensibilit et de spcificit. Le systme dindice de gravit tomodensitomtrique tablissait le pronostic de PA modrment bnin de la manire la plus prcise (conformment aux critres rviss de lAtlanta, 2012). Cependant, put tablir le pronostic de grave volution 7759-35-5 IC50 de la maladie et de mortalit, lchelle APACHE II avait la meilleure valeur prdictive. Acute pancreatitis (AP) may be the unexpected inflammation from the pancreas and, to a mixed degree, involves regional tissues or faraway organs. The morbidity price in the adult Polish inhabitants is not precisely specified; nevertheless, data through the Country wide Health Insurance Finance and the Country wide Department of Cleanliness report it to become 70 to 76.2 per 100,000 (1,2). A potential study (3) executed in the Kielce area of Poland recommended that AP takes place in 99.9 per 100,000 inhabitants, with first-time events occurring in 79 per 100,000 inhabitants. Medical diagnosis of pancreatitis is dependant on clinical characteristics, mainly observation of the current presence of two of three symptoms: abdominal discomfort regular of AP; at least threefold upsurge in serum lipase (or amylase) activity; and quality changes noticed on computed tomography (CT) with comparison medium. More seldom, diagnosis is verified using magnetic resonance imaging or percutaneous ultrasound-guided pancreatic biopsy. Verification using CT isn’t required when the.