Study on Comparison between BISAP and Ransons Scores for Predicting Severe Acute Pancreatitis
Creators
- 1. Senior Resident, Department of General Surgery, GSL Medical College, Rajahmundry.
- 2. Assistant Professor, Department of General Surgery, GSL Medical College, Rajahmundry.
- 3. Associate Professor, Department of General Surgery, GSL Medical College, Rajahmundry.
- 4. Professor & Head, Department of General Surgery, GSL Medical College, Rajahmundry.
- 5. Central Research Laboratory, GSL Medical College, Rajahmundry.
Description
Introduction: Severe acute pancreatitis (SAP) requires accurate severity prediction. Studies show mixed results on BISAP and Ranson’s scores. While some favor BISAP’s early prediction, others find comparable accuracy. The debate continues, balancing BISAP’s simplicity with Ranson’s comprehensiveness. Future research aims to refine scoring systems and incorporate advanced diagnostic tools. Methods: Demographic, clinical, and biochemical data were collected at baseline and 48 hours post-admission. Ranson’s and BISAP scores were assigned to each patient and compared with the revised Atlanta classification for acute pancreatitis (AP). Parameters evaluated included age, gender, etiology, and various biochemical markers, among others, with data tabulated and graphically presented. Results: Among 101 patients, BISAP scores distribution was: 5.94% scored 0, 24.75% scored 1, 34.65% scored 2, 18.81% scored 3, 10.89% scored 4, and 4.95% scored 5; mean score was 2.18±1.23. SAP was observed in 27.72% of patients, with 6.93% mortality. Ranson’s score ≥3 was in 36% of patients. BISAP score demonstrated higher predictive ability for SAP (OR=2.67, P=0.0003) than Ranson’s (OR=1.47). Conclusion: Our study provides evidence supporting the superior predictive capability of the BISAP score compared to Ranson’s criteria in identifying SAP cases. Early risk stratification using the BISAP score can aid clinicians in optimizing patient management and improving outcomes in AP.
Abstract (English)
Introduction: Severe acute pancreatitis (SAP) requires accurate severity prediction. Studies show mixed results on BISAP and Ranson’s scores. While some favor BISAP’s early prediction, others find comparable accuracy. The debate continues, balancing BISAP’s simplicity with Ranson’s comprehensiveness. Future research aims to refine scoring systems and incorporate advanced diagnostic tools. Methods: Demographic, clinical, and biochemical data were collected at baseline and 48 hours post-admission. Ranson’s and BISAP scores were assigned to each patient and compared with the revised Atlanta classification for acute pancreatitis (AP). Parameters evaluated included age, gender, etiology, and various biochemical markers, among others, with data tabulated and graphically presented. Results: Among 101 patients, BISAP scores distribution was: 5.94% scored 0, 24.75% scored 1, 34.65% scored 2, 18.81% scored 3, 10.89% scored 4, and 4.95% scored 5; mean score was 2.18±1.23. SAP was observed in 27.72% of patients, with 6.93% mortality. Ranson’s score ≥3 was in 36% of patients. BISAP score demonstrated higher predictive ability for SAP (OR=2.67, P=0.0003) than Ranson’s (OR=1.47). Conclusion: Our study provides evidence supporting the superior predictive capability of the BISAP score compared to Ranson’s criteria in identifying SAP cases. Early risk stratification using the BISAP score can aid clinicians in optimizing patient management and improving outcomes in AP.
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IJTPR,Vol14,Issue5,Article22.pdf
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Additional details
Dates
- Accepted
-
2024-05-25
Software
References
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