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...
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JCDR Research and Publications Pvt. Ltd.
2021-10-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
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| Online Access: | http://www.ijars.net/articles/PDF/2687/48629_CE[Ra1]_F(SHU)_PF1(AKA_SHU)_PFA(AKA_KM)_PN(KM).pdf |
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| author | Anurag Tomer Harmeet Pal Singh Dhoori Amandeep Singh Nar Atul Mishra Ravinder Pal Singh Akashi Mishra |
| author_facet | Anurag Tomer Harmeet Pal Singh Dhoori Amandeep Singh Nar Atul Mishra Ravinder Pal Singh Akashi Mishra |
| author_sort | Anurag Tomer |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T12:53:51Z |
| format | Article |
| id | doaj.art-7500460a6bfb40b8b6323e8b24acb27e |
| institution | Directory Open Access Journal |
| issn | 2277-8543 2455-6874 |
| language | English |
| last_indexed | 2024-12-20T12:53:51Z |
| publishDate | 2021-10-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | International Journal of Anatomy Radiology and Surgery |
| spelling | doaj.art-7500460a6bfb40b8b6323e8b24acb27e2022-12-21T19:40:07ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742021-10-011004010410.7860/IJARS/2021/48629:2687A Prospective Study to Evaluate BISAP Score in Acute PancreatitisAnurag Tomer0Harmeet Pal Singh Dhoori1Amandeep Singh Nar2Atul Mishra3Ravinder Pal Singh4Akashi Mishra5Junior Resident, Department of General Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, IndiaAssociate Professor, Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, IndiaAssociate Professor, Department of General Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.Professor, Department of General Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.Professor, Department of General Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.Medical Student, Department of Medicine, Himalyan Institute of Medical Sciences, Dehradun, Uttrakhand, India.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.http://www.ijars.net/articles/PDF/2687/48629_CE[Ra1]_F(SHU)_PF1(AKA_SHU)_PFA(AKA_KM)_PN(KM).pdfgall stonesnew scoring methodorgan failurepancreatic necrosistertiary care centre |
| spellingShingle | Anurag Tomer Harmeet Pal Singh Dhoori Amandeep Singh Nar Atul Mishra Ravinder Pal Singh Akashi Mishra A Prospective Study to Evaluate BISAP Score in Acute Pancreatitis International Journal of Anatomy Radiology and Surgery gall stones new scoring method organ failure pancreatic necrosis tertiary care centre |
| title | A Prospective Study to Evaluate BISAP Score in Acute Pancreatitis |
| title_full | A Prospective Study to Evaluate BISAP Score in Acute Pancreatitis |
| title_fullStr | A Prospective Study to Evaluate BISAP Score in Acute Pancreatitis |
| title_full_unstemmed | A Prospective Study to Evaluate BISAP Score in Acute Pancreatitis |
| title_short | A Prospective Study to Evaluate BISAP Score in Acute Pancreatitis |
| title_sort | prospective study to evaluate bisap score in acute pancreatitis |
| topic | gall stones new scoring method organ failure pancreatic necrosis tertiary care centre |
| url | http://www.ijars.net/articles/PDF/2687/48629_CE[Ra1]_F(SHU)_PF1(AKA_SHU)_PFA(AKA_KM)_PN(KM).pdf |
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