A prospective study of the bedside index for severity in acute pancreatitis (BISAP) score in predicting severity and prognosis of acute pancreatitis
DOI:
https://doi.org/10.18203/2349-2902.isj20190405Keywords:
Acute pancreatitis, BISAP score, Severity, PrognosisAbstract
Background: The aim of this study was to evaluate the ability of Bedside Index for Severity in Acute Pancreatitis (BISAP) score in predicting the severity and prognosis in patients admitted with acute pancreatitis.
Methods: A prospective study was performed on 52 patients who presented with acute pancreatitis during the study period between January 2016 to November 2016. BISAP score was calculated for the patients. The disease was classified as mild or severe on the basis of presence of organ system failure and local/systemic complications. The accuracy of BISAP score in predicting the severity and prognosis of acute pancreatitis was evaluated.
Results: Of the 52 patients studied, 11 patients had BISAP ≥2 and 41 patients had BISAP score <2. 9 of the 11 patients who had BISAP score ≥2 developed severe pancreatitis, local or systemic complications and had poor prognosis. 37 of the 41 patients who had BISAP score < 2 developed mild pancreatitis.
Conclusions: BISAP score is accurate in predicting severity and prognosis of acute pancreatitis. Patients with BISAP score ≥2 developed severe pancreatitis and carried poor prognosis than patients with BISAP score <2.References
Park JY, Jeon TJ, Ha TH, Hwang JT, Sinn DH, Oh TH, et al. Bedside index for severity in acute pancreatitis: comparison with other scoring systems in predicting severity and organ failure. Hepatobil Pancreatic Dis Inter. 2013;12(6):645-50.
Pednekar J, Patil S, Pednekar S. Bedside Index of Severity in Acute Pancreatitis (BISAP) score for predicting prognosis in acute pancreatitis. IAIM. 2015;2(2):62-70.
Wu BU, Johannes RS, Sun X, Tabak Y, Conwell DL, Banks PA. The early prediction of mortality in acute pancreatitis: a large population-based study. Gut. 2008;57(12):1698-703.
Singh VK, Wu BU, Bollen TL, Repas K, Maurer R, Johannes RS, et al. A prospective evaluation of the bedside index for severity in acute pancreatitis score in assessing mortality and intermediate markers of severity in acute pancreatitis. Am J Gastroenterol. 2009;104(4):966.
Kaya E, Dervişoğlu A, Polat C. Evaluation of diagnostic findings and scoring systems in outcome prediction in acute pancreatitis. World J Gastroenterol: WJG. 2007;13(22):3090.
Barreto SG, Rodrigues J. Acute pancreatitis in Goa--a hospital-based study. J Ind Med Assoc. 2008;106(9):575-6.
Surco Y, Huerta Mercado J, Pinto J, Piscoya A, Los Ríos R, Prochazka R, et al. Predicción precoz de severidad en pancreatitis aguda. Rev Gastroenterol Perú. 2012;32(3):241-50.
Papachristou GI, Muddana V, Yadav D, O’Connell M, Sanders MK, Slivka A, et al. Comparison of BISAP, Ranson's, APACHE-II, and CTSI scores in predicting organ failure, complications, and mortality in acute pancreatitis. Am J Gastroenterol. 2010;105(2):435.
Kim BG, Noh MH, Ryu CH, Nam HS, Woo SM, Ryu SH, et al. A comparison of the BISAP score and serum procalcitonin for predicting the severity of acute pancreatitis. Korean J Inter Med. 2013;28(3):322.
Zhang J, Shahbaz M, Fang R, Liang B, Gao C, Gao H, et al. Comparison of the BISAP scores for predicting the severity of acute pancreatitis in Chinese patients according to the latest Atlanta classification. J Hepato‐Biliary‐Pancreatic Sci. 2014;21(9):689-94.
