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07 August 2023: Clinical Research

Ascites Volume Quantification via Abdominal CT: A Novel Approach to Predict Severity in Acute Pancreatitis

Zhimin Song 1ABCDEFG , Qingyun Zhu 2BCD , Yushi Zhang 1ACF , Xu Yan 1BDF , Xinting Pan 1ABCDEFG*

DOI: 10.12659/MSM.940783

Med Sci Monit 2023; 29:e940783

Table 6 The main characteristics of different grading systems.

Grading SystemSensitivity(%)Specificity(%)PPVPLRDOR
SAP
Ascites volume ≥344 ml93 (84, 98)79 (59, 92)90 (80, 96)4.4 (2.1, 8.9)51.3 (13.2, 199.6)
BISAP ≥287 (75, 94)57 (37, 76)81 (70, 90)2.0 (1.3, 3.1)8.7 (3.0, 24.9)
APACHE II
 ≥857 (43, 69)71 (51, 87)81 (66, 91)2.0 (1.1, 3.7)3.3 (1.2, 8.6)
 ≥1042 (29, 55)93 (77, 99)93 (76, 99)5.8 (1.5, 22.9)9.3 (2.0, 42.8)
CRP level
 ≥150 mg/L48 (35, 62)86 (67, 96)88 (72, 97)3.4 (1.3, 8.7)5.6 (1.7, 18.1)
 ≥115 mg/L63 (50, 75)79 (59, 92)86 (73, 95)3.0 ()6.3 (2.2, 18.0)
PCT level
 ≥0.43ng/L77 (64, 87)68 (48, 84)84 (71, 92)2.4 (1.4, 4.2)6.9 (2.6, 18.7)
The confidence interval in brackets is 95%. PPV – positive predictive value; PLR – positive likelihood ratio; DOR – diagnostic advantage ratio.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750