Role of BISAP score in predicting severity and mortality in acute pancreatitis at RIMS, Ranchi, Jharkhand
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 3
Abstract
Introduction: Most episodes of acute pancreatitis (80%) are mild and self-limiting; however 10-20% patients have severe pancreatitis, with prolonged length of hospital stay and significant morbidity and mortality. There are many scores to predict severity and mortality of acute pancreatitis. Each score has its own advantage and disadvantage but none of them is a standard criterion to predict outcome of Acute Pancreatitis. The more recently proposed Bedside Index for Severity of Acute Pancreatitis (BISAP Score) is simple and can be performed within first 24 hours of admission. We aimed to study the role of BISAP score in predicting severity, mortality and outcome in cases of acute pancreatitis presenting at our institute. Materials and methods: A prospective observational study was conducted at RIMS, Ranchi from November 2015 to October 2017 having 74 cases of acute pancreatitis. Results: Mean age was 42.44 years with 72% males. Mean duration of hospital stay was 10 days. BISAP score correlates significantly with length of hospital stay with area under ROC Curve 0.95, with 95% confidence interval (CI) 0.89 to 1.0 It was observed that 48% cases of score 2, 33.30% in score 3 developed complications. 4% patients died in score 2, 50% in score 3, and 100% in score 4 and 5 respectively. 18% of patient with BISAP score ≥2 were having local and systemic complications.16% of patients who died were having BISAP score ≥3. The area under curve for BISAP score and mortality was 0.974, with 95% CI 0.929-1.018. Conclusion: BISAP SCORE evaluation is found to be simple and accurate method of predicting the mortality in acute pancreatitis bases on parameters collected within 24 hours of admission. Statistically significant trend in severity and mortality was found with increasing BISAP score.
Authors and Affiliations
Dr. Mahipal
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