A Comparative Evaluation of Radiologic and Clinical Scoring Systems in the Early Prediction of Severity in Acute Pancreatitis

Bollen, Thomas L.; Singh, Vikesh K.; Maurer, Rie; Repas, Kathryn; Es, Hendrik W. van; Banks, Peter A.; Mortelé, Koenraad J.

doi:10.1038/ajg.2011.438

Cited by 294 publications

(179 citation statements)

References 37 publications

Supporting

Mentioning

162

Contrasting

Unclassified

Order By: Relevance

“…Several CT scoring systems have been reported as being better than other systems for predicting the severity of AP. Bollen et al (27) reported no statistically significant differences between the predictive accuracies of CT and clinical scoring systems. In conclusion, these authors did not recommend a CT for conducting a severity assessment.…”

Section: Discussionmentioning

confidence: 99%

Can C-reactive protein levels increase the accuracy of the Ranson score in predicting the severity and prognosis of acute pancreatitis? A prospective cohort study

Başak

Hasbahçeci²,

Şişik³

et al. 2017

Turk J Gastroenterol

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Can C-reactive protein levels increase the accuracy of the Ranson score in predicting the severity and prognosis of acute pancreatitis? A prospective cohort study

Başak

Hasbahçeci²,

Şişik³

et al. 2017

Turk J Gastroenterol

View full text Add to dashboard Cite

“…Six studies used the Atlanta classification [15–20] and the other six used the revised Atlanta classification [21–26]. Blinded outcome assessment was reported in only one study [17]. …”

Section: Resultsmentioning

confidence: 99%

The Bedside Index for Severity in Acute Pancreatitis: a systematic review of prospective studies to determine predictive performance

Chandra

Murali

Bansal

et al. 2017

Journal of Community Hospital Internal Medicine Perspectives

View full text Add to dashboard Cite

Background: predicting the development of severe disease has remained a major challenge in management of acute pancreatitis. The Bedside Index for Severity in Acute Pancreatitis (BISAP) is easy to calculate from the data available in the first 24 hours. Here, we performed a systematic review to determine the prognostic accuracy of the BISAP for severe acute pancreatitis (SAP). Methods: major databases of biomedical publications were searched during the first week of October 2015. Two independent reviewers searched records in two phases. Studies that reported prognostic accuracy of the BISAP for SAP from prospective cohorts were included. The pooled area under the receiver operating curve (AUC) was calculated. Results: Twelve studies were included for data-synthesis and methodology quality assessment was performed for 10. All the studies had enrolled consecutive patients, had a broad spectrum of the disease severity, reported explicit interpretation of the predictor, outcome of interest was well defined and had adequate follow-up. Blinded outcome assessment was reported in only one study. The pooled AUC was 0.85 (95% CI 0.80–0.90). There was significant heterogeneity, I 2 86.6%. Studies using revised Atlanta classification in defining SAP had a pooled AUC of 0.92 (95% CI, 0.90–0.95), but heterogeneity persisted, I 2 67%. Subgroup analysis based on rate of SAP (>20% vs <20%) did not eliminate the heterogeneity. Conclusion: the BISAP has very good predictive performance for SAP across different patient population and etiologies. Studies to evaluate the impact of incorporating the BISAP into clinical practice to improve outcome in acute pancreatitis are needed before adoption could be advocated with confidence.

show abstract

“…A three fold or higher level of serum amylase and lipase confirms the diagnosis [6] .In our study,95% of patients have three fold or higher serum level of amylase and lipase.CECT is currently the best diagnostic method for pancreatic necrosis [7] .In our study CECT has been done in all patients to exclude pancreatic necrosis in early stage.CT severity index has a good correlation with mortality and morbidity [8] .Most episodes of acute pancreatitis(80%) are mild and self limiting [9] .Organ failure and infection of pancreatic necrosis are important determinants of mortality in patients with acute pancreatitis and the presence of either indicates severe disease [10] .In our study 86% of cases were managed conservatively without any complication,early operative intervention for infection of pancreatic necrosis in 2%,late operative intervention for pseudocyst in 4% and mortality in 4% of cases.…”

Section: Discussionmentioning

confidence: 99%

Changing Etiological Incidence of Acute Pancreatitis in AdultsSingle Tertiary Centre Study.

Rai¹

2017

IOSR JDMS

View full text Add to dashboard Cite

A Comparative Evaluation of Radiologic and Clinical Scoring Systems in the Early Prediction of Severity in Acute Pancreatitis

Abstract: The predictive accuracy of CT scoring systems for severity of AP is similar to clinical scoring systems. Hence, a CT on admission solely for severity assessment in AP is not recommended.

Cited by 294 publications

References 37 publications

Can C-reactive protein levels increase the accuracy of the Ranson score in predicting the severity and prognosis of acute pancreatitis? A prospective cohort study

Can C-reactive protein levels increase the accuracy of the Ranson score in predicting the severity and prognosis of acute pancreatitis? A prospective cohort study

The Bedside Index for Severity in Acute Pancreatitis: a systematic review of prospective studies to determine predictive performance

Changing Etiological Incidence of Acute Pancreatitis in AdultsSingle Tertiary Centre Study.

Contact Info

Product

Resources

About