Validation of Bedside Index for severity in acute pancreatitis (BISAP) score in the severity and prognosis of acute pancreatitis
Keywords:Acute pancreatitis, Scoring system, BISAP, Severity, Prognosis
Introduction: Acute Pancreatitis (AP) is one of most common cause of acute pain abdomen which we encounter in our daily surgical practice. It will be important if we stratify patients with acute pancreatitis according to their risk. Many staging systems for acute pancreatitis have been proposed, each with advantages and disadvantages. Objective: To evaluate the accuracy of bedside index for severity in acute pancreatitis (BISAP) in predicting the severity and prognoses of acute pancreatitis (AP). Material and Methods: Prospective obervational study that included all patients presented with acute pancreatitis and getting admitted in Department of Surgery, HIMS, Hassan from June 2020 to November 2020. The variables needed to calculate BISAP and complications were obtained and recorded in standard proforma. Clinical data for 80 patients with AP were analyzed prospectively to compare BISAP with Atlanta scoring system in predicting the severity of AP and the occurrence of mortality, and organ failure in patients with severe AP. Results: Of the 80 patients, 67 had mild AP, 16 had moderate AP and 20 had severe AP. There were significant correlations between the scores of two systems. BISAP performed similarly to other scoring systems in predicting SAP, as well as mortality, and organ failure in SAP patients. Conclusion: BISAP can be used as a tool to triage patients for streaming health care facilities, as it is a simple system that does not increase the cost of hospitalization and also identifies persons at risk of severe pancreatitis in the first 24 hours of admission.
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Copyright (c) 2022 Vinay. H. D., Nitin Kumar Chavan, Shashanka R, Rajanna.B
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