A Prospective Study of the BISAP Score in Predicting Severity and Prognosis of Acute Pancreatitis in a Tertiary Care Hospital in Southern Bihar Region
Authors/Creators
- 1. PG-Student, Department of General Surgery, Narayan Medical College and Hospital, Sasaram, Bihar, India
- 2. Associate Professor, Department of General Surgery, Narayan Medical College and Hospital, Sasaram, Bihar, India
- 3. PG Student, Department of General Surgery, Narayan Medical College and Hospital, Sasaram, Bihar, India
- 4. Professor, Department of General Surgery, Narayan Medical College and Hospital, Sasaram, Bihar, India
Description
Aim: A prospective study of the bedside index for severity in acute pancreatitis (BISAP) score in predicting severity and prognosis of acute pancreatitis. Methods: The present Prospective study was conducted in the Department of General Surgery, Narayan Medical College and Hospital, Sasaram, Bihar, India.The total number of patients included in the study was 50. Individual components of the BISAP scoring system were BUN >25mg/dl, impaired mental status (Glasgow Coma Scale Score <15) and SIRS (systemic inflammatory response syndrome). Results: Out of 50 patients 45 (90%) were males and 5 (10%) were females. Thus, a male preponderance was observed in this disease. Out of 50 patients, 40 had BISAP score ˂2. Among them, 37 patients (92.5%) had a hospital stay for ≤7 days and only 3 patients (7.5%) had a hospital stay for >7 days. 10patients had BISAP score ≥2. Among them, 9 patients (90%) had a hospital stay for >7 days and only 1 patient (10%) had a hospital stay for ≤7 days. Hence, BISAP Score ≥2 was associated with prolonged hospital stay. In this study, BISAP score had a sensitivity of 70%, specificity of 92.5%, positive predictive value of 70, negative predictive value of 92.5%, false positive rate of 7.5% and false negative rate of 30% in predicting severe acute pancreatitis and poor prognosis. Conclusion: It can be concluded that BISAP score is accurate in predicting severity and prognosis of acute pancreatitis. Patients diagnosed with acute pancreatitis having BISAP score ≥2 are prone to develop severe pancreatitis and carried poor prognosis while patients with BISAP score <2 develop only mild pancreatitis and have better prognosis.
Abstract (English)
Aim: A prospective study of the bedside index for severity in acute pancreatitis (BISAP) score in predicting severity and prognosis of acute pancreatitis. Methods: The present Prospective study was conducted in the Department of General Surgery, Narayan Medical College and Hospital, Sasaram, Bihar, India.The total number of patients included in the study was 50. Individual components of the BISAP scoring system were BUN >25mg/dl, impaired mental status (Glasgow Coma Scale Score <15) and SIRS (systemic inflammatory response syndrome). Results: Out of 50 patients 45 (90%) were males and 5 (10%) were females. Thus, a male preponderance was observed in this disease. Out of 50 patients, 40 had BISAP score ˂2. Among them, 37 patients (92.5%) had a hospital stay for ≤7 days and only 3 patients (7.5%) had a hospital stay for >7 days. 10patients had BISAP score ≥2. Among them, 9 patients (90%) had a hospital stay for >7 days and only 1 patient (10%) had a hospital stay for ≤7 days. Hence, BISAP Score ≥2 was associated with prolonged hospital stay. In this study, BISAP score had a sensitivity of 70%, specificity of 92.5%, positive predictive value of 70, negative predictive value of 92.5%, false positive rate of 7.5% and false negative rate of 30% in predicting severe acute pancreatitis and poor prognosis. Conclusion: It can be concluded that BISAP score is accurate in predicting severity and prognosis of acute pancreatitis. Patients diagnosed with acute pancreatitis having BISAP score ≥2 are prone to develop severe pancreatitis and carried poor prognosis while patients with BISAP score <2 develop only mild pancreatitis and have better prognosis.
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IJPCR,Vol14,Issue8,Article65.pdf
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Additional details
Dates
- Accepted
-
2022-08-04
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue8,Article65.pdf
- Development Status
- Active
References
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