The INSPPIRE diagnostic criteria is a clinical calculator used specifically for diagnosing pediatric acute recurrent pancreatitis. INSPPIRE stands for International Study Group of Pediatric Pancreatitis: In Search for a Cure. This calculator is used in the pediatric population, particularly in children who present with recurrent episodes of abdominal pain suggestive of pancreatitis.

The clinical utility of the INSPPIRE diagnostic criteria is to provide a standardized method for diagnosing acute recurrent pancreatitis in children, which can help guide appropriate treatment and management strategies. It takes into account factors such as the number of episodes, clinical symptoms, imaging findings, and laboratory results.

Exclusion criteria for the use of the INSPPIRE diagnostic criteria include the presence of chronic pancreatitis, as the criteria are specifically designed for acute recurrent episodes. Additionally, it may not be applicable in cases where the cause of abdominal pain is clearly attributable to another condition.

INSPPIRE diagnositc criteria for pediatric acute recurrent pancreatitis

# Criteria
 ## >= 2 discrete episodes of acute pancreatitis (as defined by the INSPPIRE criteria)
A. Yes (+1)
B. No (+0)
## Failure to meet acute pancreatitis criteria for a period after the first episode
C. Yes (+1)
D. No (+0)
## Absence of evidence of irreversible structural changes in the pancreas
E. Yes (+1)
F. No (+0)

# Conditions
- score >= 3
- score <= 2
- score == 0