Introduction. Total calcium (TC) and albumin-corrected calcium (ACC) are easily accessible AP severity tests in the Primary\nHealth Care Center of Nepal. The aim of the study was to evaluate TC and ACC as prognostic severity markers in acute\npancreatitis (AP). Methods. All patients admitted in Tribhuvan University Teaching Hospital with the diagnosis of AP were\nstudied prospectively over a period of one year from January 2015 to January 2016. TC and ACC were measured in the first 24\nhours of admission in each patient. The modified Marshall score was determined at admission and at 48 hours and at any point of\ntime during admission as per the need of the patient. Severity of acute pancreatitis was defined as per the Revised Atlanta\nClassification 2012. Results. 80 patients of AP were included in the study. Among them, 14% were categorized as having severe AP.\nThe mean total calcium was 8.22, 7.51, and 6.98 for mild, moderate, and severe AP, respectively, which was significant at 0.001.\nConclusion. TC and ACC, measured within the first 24 hours, are useful severity predictors in acute pancreatitis.
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