A prospective study of BISAP score in assessing severity of acute pancreatitis

Venkatapuram, Mahidhar Reddy; Sateesh, Sreeram; Batchu, Deepthi

doi:10.18203/2349-2902.isj20181571

Cited by 3 publications

(9 citation statements)

References 24 publications

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“…The incidence of pancreatic necrosis was seen between 14%-35% in various studies. [8,9,12,14,17] Similar findings were seen in present study.…”

Section: Discussionsupporting

confidence: 91%

“…However male predominance is seen in most studies but ratio varies from 2:3 to 9:1. [11][12][13][14][15] In present study the commonest cause was idiopathic (32%) followed by gallstone disease (28%). Similar results were shown by Kanase et al, where 31% patients had idiopathic cause while 28% patients had gall stone disease.…”

Section: Discussionmentioning

confidence: 89%

“…In 76% (38) cases pancreatic necrosis was absent while in 24% (12) cases it was present. The incidence of pancreatic necrosis was seen between 14%-35% in various studies.…”

Section: Discussionmentioning

confidence: 97%

“…The results are comparable to previous studies. [9][10][11][12] Equal number of male and female was observed with male: female ratio of 1:1. However male predominance is seen in most studies but ratio varies from 2:3 to 9:1.…”

Section: Discussionmentioning

confidence: 99%

“…[17] However Venkatapuram et al, reported alcohol as most common etiological factor (80%) followed by gall bladder stones (8%). [12] Gall bladder stones and alcohol are common etiological factors for acute pancreatitis. However present study showed idiopathic as most common cause.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of acute pancreatitis based on BISAP scoring system: A cohort study of 50 cases

Walia

Dugg

Singh

et al. 2022

Acta Medica Martiniana

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Background/Aim Acute pancreatitis is encountered in both medical and surgical specialty. Assessment of severity and grading is done using radiological investigations mostly like ultrasonography or CECT. We present a study to assess the severity of Acute Pancreatitis based on Bedside Index for Severity in Acute Pancreatitis (BISAP) scoring system. Material & Methods The study was conducted on 50 patients presenting with acute pancreatitis who were included as per inclusion criteria and a detailed history, clinical examination and blood investigation performed. Data like serum amylase, serum lipase, serum calcium, blood urea nitrogen (BUN), pleural effusion and systemic inflammatory response syndrome (SIRS) was collected from the patients. Based on data collected in 24 hours of hospitalization, BISAP score was calculated. Results Results showed that no significant temperature rise, pancreatic necrosis, SIRS or impaired mental status in patients with BISAP severity of <=3. However, patients having BISAP score >3, factors like BUN, age, pleural effusion, and organ failure show significant correlation. Also on comparative analysis of patients showed that the hospital stay, respiratory rate, pulse and laboratory markers (blood urea, serum creatinine, serum amylase, serum lipase) were significantly higher in patients with BISAP score ≥3. Conclusion BISAP score is an easy, quick and bedside method to assess the severity of acute pancreatitis and predict its mortality. It is easy bedside procedure that can be done in every setup.

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“…The incidence of pancreatic necrosis was seen between 14%-35% in various studies. [8,9,12,14,17] Similar findings were seen in present study.…”

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 89%

“…In 76% (38) cases pancreatic necrosis was absent while in 24% (12) cases it was present. The incidence of pancreatic necrosis was seen between 14%-35% in various studies.…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of acute pancreatitis based on BISAP scoring system: A cohort study of 50 cases

Walia

Dugg

Singh

et al. 2022

Acta Medica Martiniana

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Comparative Evaluation of Harmless Acute Pancreatitis Score (HAPS) and Bedside Index of Severity in Acute Pancreatitis (BISAP) Scoring System in the Stratification of Prognosis in Acute Pancreatitis

Gupta¹,

Mandal²,

Arora³

et al. 2022

Cureus

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Acute pancreatitis is a common disease in patients presenting to the emergency room in any hospital. The most common causes are alcohol ingestion and gallstone disease. Diagnosis is usually based on clinical findings and elevated serum amylase and lipase levels. Imaging is often not necessary but may be used to confirm the diagnosis or rule out any other pathology or to evaluate for any complications. The majority of patients will have a mild, self-limiting disease but others may develop a severe fulminant course with organ failure. These patients are at high risk of developing complications, morbidity or mortality. Treatment of acute pancreatitis includes supportive treatment with antibiotics, fluids, analgesics and early enteral feeding. Several scores have been developed to predict the course of pancreatitis and help make informed decisions, monitoring and timely intervention. The majority of them are complicated, require extensive and expensive interventions or require time. Harmless acute pancreatitis score (HAPS) is one such score that is easy to calculate and is done at the time of admission, bedside index of severity in acute pancreatitis (BISAP) is another one requiring more parameters. The parameters used to calculate it are easily available and can be done at a majority of healthcare facilities in developing countries. HAPS thus seems to be a good option in aiding doctors in assessing acute pancreatitis. It may be considered as a standard scoring for acute pancreatitis for early and effective management. We have tried to study and compare the superiority of HAPS over BISAP in predicting prognosis in acute pancreatitis.

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Severe Acute Pancreatitis Prediction: A Model Derived From a Prospective Registry Cohort

Barrera Gutierrez,

Greenburg,

Shah

et al. 2023

Cureus

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BackgroundSevere acute pancreatitis (SAP) has a mortality rate as high as 40%. Early identification of SAP is required to appropriately triage and direct initial therapies. The purpose of this study was to develop a prognostic model that identifies patients at risk for developing SAP of patients managed according to a guideline-based standardized early medical management (EMM) protocol. MethodsThis single-center study included all patients diagnosed with acute pancreatitis (AP) and managed with the EMM protocol Methodist Acute Pancreatitis Protocol (MAPP) between April 2017 and September 2022. Classification and regression tree (CART®; Professional Extended Edition, version 8.0; Salford Systems, San Diego, CA), univariate, and logistic regression analyses were performed to develop a scoring system for AP severity prediction. The accuracy of the scoring system was measured by the area under the receiver operating characteristic curve. ResultsA total of 516 patients with mild (n=436) or moderately severe and severe (n=80) AP were analyzed. CART analysis identified the cutoff values: creatinine (CR) (1.15 mg/dL), white blood cells (WBC) (10.5 × 10 9 /L), procalcitonin (PCT) (0.155 ng/mL), and systemic inflammatory response system (SIRS). The prediction model was built with a multivariable logistic regression analysis, which identified CR, WBC, PCT, and SIRS as the main predictors of severity. When CR and only one other predictor value (WBC, PCT, or SIRS) met thresholds, then the probability of predicting SAP was >30%. The probability of predicting SAP was 72% (95%CI: 0.59-0.82) if all four of the main predictors were greater than the cutoff values. ConclusionsBaseline laboratory cutoff values were identified and a logistic regression-based prognostic model was developed to identify patients treated with a standardized EMM who were at risk for SAP.

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A prospective study of BISAP score in assessing severity of acute pancreatitis

Cited by 3 publications

References 24 publications

Evaluation of acute pancreatitis based on BISAP scoring system: A cohort study of 50 cases

Evaluation of acute pancreatitis based on BISAP scoring system: A cohort study of 50 cases

Comparative Evaluation of Harmless Acute Pancreatitis Score (HAPS) and Bedside Index of Severity in Acute Pancreatitis (BISAP) Scoring System in the Stratification of Prognosis in Acute Pancreatitis

Severe Acute Pancreatitis Prediction: A Model Derived From a Prospective Registry Cohort

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