Bisap:A New Method For Assessing Severity And Mortality Of Acute Pancreatitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
OBJECTIVES: This study was conducted with aim of to determine the ability of BISAP (Bedside index for severity in acute pancreatitis score) score to predict mortality and severity in acute pancreatitis. MATERIAL AND METHODS: In this prospective observational study, 100 patients of acute pancreatitis were studied from July 201 to Nov 2018. . BISAP score is calculated based on data obtained within 24 hours of hospitalisation. Marshall scoring system was used to characterize organ failure. The optimal cut off score for mortality from the receiver operating characteristics (ROC) curve was used to evaluate the development of persistent organ failure and pancreatic necrosis. RESULTS: Among 100 patients, 19% patients had organ failure, 12% patients had pancreatic necrosis, 21%patients had severe acute pancreatitis. overall mortality was 4%. The receiver operating curve (ROC) demonstrated a BISAP score of 3 as the optical sensitivity and specificity threshold for mortality. With increase of BISAP score there was good correlation with the development of organ failure, pancreatic necrosis and mortality. CONCLUSION: So, BISAP score is simple and accurate clinical method used to identify patients who are at increased risk of mortality within 24 hours of admission.
Authors and Affiliations
Dr Laxman Saka, Dr Ramesh Kumar Korumilli, Dr S Rama Chandra Reddy, Dr Muvva Sri Harsha, Dr Pavan Kumar, Kanmathareddy Amulya
Keywords
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- EP ID EP572136
- DOI 10.9790/0853-1804030105.
- Views 69
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