A Prospective Study to Evaluate BISAP Score in Acute Pancreatitis
Introduction: Acute Pancreatitis (AP) is among leading cause of acute abdomen in the study institution. There is a need of simple criteria to stratify patients in Emergency Department. The Bedside Index for Severity in Acute Pancreatitis (BISAP) score is one such score. Aim: This study evaluate...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2021-10-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2687/48629_CE[Ra1]_F(SHU)_PF1(AKA_SHU)_PFA(AKA_KM)_PN(KM).pdf |
| Summary: | Introduction: Acute Pancreatitis (AP) is among leading cause
of acute abdomen in the study institution. There is a need of
simple criteria to stratify patients in Emergency Department. The
Bedside Index for Severity in Acute Pancreatitis (BISAP) score is
one such score.
Aim: This study evaluates the BISAP score to predict organ
failure, pancreatic necrosis and moderately severe/severe AP in
tertiary health care center in India and promote its use.
Materials and Methods: This prospective observational study
was conducted on 50 consecutive patients diagnosed as
AP from May 2019 to April 2020 and admitted in Emergency
Department of DMC Hospital, Ludhiana, India. BISAP score
was calculated based on data obtained within 24 hours of
hospitalisation. Severity of AP was defined according to the
Revised Atlanta Classification, 2012. Organ failure was defined
using the Modified Marshall scoring system. Data was expressed
in terms of median, frequencies (number of cases) and relative
frequencies (percentages); range; mean±Standard Deviation
(±SD). All statistical calculations were done in Microsoft Windows
Statistical Package for the Social Science (SPSS) version 21.0.
Results: The leading cause of AP in present study is gall stones,
with maximum 26 (52%) cases. Second most common cause is
alcohol with 11 (22%) cases. Systemic Inflammatory Response
Syndrome (SIRS) is the most common component of BISAP
score, present in 47 (94%) cases. Pancreatic necrosis present in
12 (24%) cases. Incidence of pancreatic necrosis rises at score
≥3 which is statistically significant (p-value- 0.008). Transient
organ failure was present in 14 (28%) cases, persistent organ
failure was present in 9 (18%) cases and 27 (54%) cases had no
organ failure. At score ≥3, there is increased risk of organ failure
and it is statistically significant (p-value ≤0.001). There are
27 (54%) mild, 14 (28%) moderately severe and 9 (18%) severe
cases of AP. At score ≥3, there is increased risk of moderately
severe and severe pancreatitis and it is statistically significant
(p-value ≤0.001).
Conclusion: There is statistically significant trend of increasing
incidence of organ failure, pancreatic necrosis and moderately
severe/severe AP at BISAP score ≥3. Thus, BISAP score is
simple yet accurate scoring system to improve early risk
stratification in AP. |
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| ISSN: | 2277-8543 2455-6874 |