A Study of Severity of Acute Pancreatitis with Correlation Between Modified Marshall Score and Ct Severity Index

Background: Acute pancreatitis (AP) is a potentially life-threatening condition with variable outcomes. Early and accurate assessment of severity is crucial for determining prognosis and guiding treatment. This study aims to evaluate the correlation between the CT Severity Index (CTSI) and the Modified Marshall Score (MMS) in assessing AP severity. Methods: A prospective, cross-sectional study conducted at Fakhruddin Ali Ahmed Medical College, Barpeta, India, over one year. Fifty patients diagnosed with acute pancreatitis were included. CTSI and MMS were calculated and correlated with clinical outcomes. Results: A significant correlation was found between CTSI and MMS (r = 0.386, p = 0.006). Higher CTSI and MMS scores were associated with complications and prolonged hospital stays. The study showed that these scores have predictive value for clinical outcomes. Conclusion: CTSI and MMS are effective tools for stratifying the severity of acute pancreatitis, with a significant correlation between them. Their combined use enhances prognostic accuracy and assists in clinical decision-making.