Elevated Serum Creatinine as a Marker of Pancreatic Necrosis in Acute Pancreatitis

Abstract

We confirm that a low admission hematocrit indicates a low risk of pancreatic necrosis (PNec) in patients with acute pancreatitis. In contrast, an increase in creatinine within the first 48 h is strongly associated with the development of PNec. This finding may have important clinical implications and warrants further investigation.