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Gastroenterology
Ranson's Criteria — Acute Pancreatitis Severity
11-point severity score at admission and 48 hours
At Admission (5 criteria)
Admission score: 0/5
At 48 Hours (6 criteria)
48h score: 0/6
Admission
0/5
48 Hours
0/6
Total Score
0/11
Severity
Predicted Mortality
—
Note for gallstone pancreatitis: Age threshold is >70 years and blood glucose >220 mg/dL (slightly different criteria apply).
Show Reference Table
| Total Score | Severity | Predicted Mortality | Management |
|---|---|---|---|
| 0–2 | Mild | ~1% | Ward management; early oral feeding |
| 3–4 | Moderate | ~16% | ICU monitoring; aggressive IV fluids |
| 5–6 | Severe | ~40% | ICU; ERCP if indicated; surgical consult |
| 7–8 | Very Severe | ~100% | ICU; surgery likely needed |
