BISAP Score as a predictor of outcome in Acute Pancreatitis – A prospective study

Abstract

Objectives: To predict the outcome of Acute Pancreatitis using BISAP score. To find the association of mortality and morbidity with BISAP score in Acute Pancreatitis. Methods: The prospective study was conducted over a period of 1 year and included 100 patients, who presented within 24 hours of the onset of symptoms, and the BISAP score was obtained. The study population was divided into two groups – Mild Acute Pancreatitis (BISAP <3) and Severe Acute Pancreatitis (BISAP ≥ 3). The outcome, mortality and morbidity in the study group was analyzed. Results: The study group with BISAP ≥ 3 was associated with a significantly higher risk of Pancreatic necrosis, transient organ failure and persistent organ failure; and was associated with a statistically significant mortality, morbidity and hospital stay. Conclusion: BISAP score is a simple scoring system which can clearly prognosticate severity, morbidity and mortality of acute pancreatitis patients. It enables us to risk stratify the patients early in the disease process and thus helps in improving the clinical care and facilitates necessary intervention.