Concordance of the Balthazar Grade and the Revised Atlanta Classification

作者：Weiran Li, Shuanghong Luo, Yu Zhu, Min Shu, Yang Wen, Zhiling Wang, Chaomin Wan · 发表于：Pancreas · 年份：2018 · DOI：10.1097/mpa.0000000000001166 · 被引用次数：14 · 研究领域：Pancreatitis Pathology and Treatment、Sepsis Diagnosis and Treatment、COVID-19 Clinical Research Studies

OBJECTIVES: The aim of this study was to compare the concordance of the Balthazar grade and the revised Atlanta classification and then establish a modified radiological scoring system that would predict 3 degrees of severity of acute pancreatitis (AP) based on the latest Atlanta classification. METHODS: A retrospective study enrolling pediatric inpatients with AP who had completed computed tomography was conducted between January 2006 and March 2018. The concordance of the 2 radiological scoring systems was assessed with κ statistic. RESULTS: The Balthazar grade was unable to accurately predict the severity of AP compared with the revised Atlanta classification. However, a modified Balthazar grading system defining patents with Balthazar grades A to C as mild, grade D as moderately, and grade E as severe presented perfect agreement with the revised Atlanta classification across the enrolled population (κ, 0.85; 95% confidence interval, 0.73-0.97). The concordance of the modified Balthazar score and the revised Atlanta classification remained a perfect degree of agreement across repeated tests in 90 random samples (κ, 0.85; 95% confidence interval, 0.85-0.85). CONCLUSIONS: The modified Balthazar grade demonstrated perfect agreement with the latest Atlanta classification for AP severity scoring. As such, the modified Balthazar grade can be used to predict 3 degrees of severity of AP.