A prospective study of the Bedside Index for Severity in Acute Pancreatitis (BISAP) score in acute pancreatitis: An Indian perspective

Senapati, Debadutta; Debata, Prasanna Kumar; Jenasamant, Saumya Sekhar; Nayak, Anil Kumar; Gowda, Smitha; Swain, N.

doi:10.1016/j.pan.2014.07.007

Cited by 23 publications

(28 citation statements)

References 37 publications

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“…The outcome of interest (SAP) was well defined in each study. 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

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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.

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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

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“…Gallstone and alcohol are the two main causes of acute pancreatitis [20]. Because alcohol induced oxidative stress with acetaldehyde and fatty acid ethyl esters [21] could influence complications of acute pancreatitis, the development of a pseudocyst was significantly associated with an alcoholic etiology [19], and chronic alcohol consumption enhanced the risk of pancreatic necrosis more than other etiology [22].…”

Section: Discussionmentioning

confidence: 99%

Usefulness of scheduled follow-up CT in discharged patients with acute pancreatitis

et al. 2015

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“…Numerous scoring systems based on radiological findings, such as the computed tomographic severity index (CTSI), also identify high‐risk patients, but many regional centres do not have timely access to this imaging modality. In 2008, Wu et al developed the Bedside Index of Severity in Acute Pancreatitis score (BISAP score; range 0–5), quantifying parameters associated with an increased risk of inpatient death among patients with AP: blood urea nitrogen, mental status, presence and/or severity of SIRS, age and evidence of pleural effusions . The score correlated with severity of illness, extent of pancreatic necrosis and mortality .…”

Section: Introductionmentioning

confidence: 99%

“…In 2008, Wu et al developed the Bedside Index of Severity in Acute Pancreatitis score (BISAP score; range 0–5), quantifying parameters associated with an increased risk of inpatient death among patients with AP: blood urea nitrogen, mental status, presence and/or severity of SIRS, age and evidence of pleural effusions . The score correlated with severity of illness, extent of pancreatic necrosis and mortality . BISAP score has been used to predict mortality in two large cohorts in the USA between 2001 and 2005, and several smaller cohorts in the USA, China, Korea and India .…”

Section: Introductionmentioning

confidence: 99%

“…The score correlated with severity of illness, extent of pancreatic necrosis and mortality . BISAP score has been used to predict mortality in two large cohorts in the USA between 2001 and 2005, and several smaller cohorts in the USA, China, Korea and India . It has not been specifically evaluated in the intensive care population or in Australia.…”

Section: Introductionmentioning

confidence: 99%

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Predictors and outcomes of acute pancreatitis in critically ill patients presenting to the emergency department of a tertiary referral centre in Australia

Sundararajan

Schoeman

Hughes

et al. 2017

Emerg Medicine Australasia

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Severe acute pancreatitis is associated with high mortality. Aetiology and comorbidity did not predict adverse outcomes in this population. BISAP score is non-inferior to APACHE II score as a prognostic tool in critically ill patients with acute pancreatitis and could be used to triage admission. Evidence of persistent organ dysfunction and requirements for organ support reliably identify patients at high-risk of death.

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A prospective study of the Bedside Index for Severity in Acute Pancreatitis (BISAP) score in acute pancreatitis: An Indian perspective

Cited by 23 publications

References 37 publications

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

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

Usefulness of scheduled follow-up CT in discharged patients with acute pancreatitis

Predictors and outcomes of acute pancreatitis in critically ill patients presenting to the emergency department of a tertiary referral centre in Australia

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