Comparison of scoring systems in predicting the severity of acute pancreatitis

Cho, Joon Hyun; Kim, Tae Nyeun; Chung, Hyun Hee; Kim, Kook Hyun

doi:10.3748/wjg.v21.i8.2387

Cited by 166 publications

(182 citation statements)

References 35 publications

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“…It includes Ranson's criteria, the Acute Physiology And Chronic Health Evaluation (APACHE II) score, Bedside Index for Severity in Acute Pancreatitis (BISAP), Computed Tomography Severity Index (CTSI), etc. [3][4][5] Knaus et al proposed a scoring system APACHE in 1981 taking into consideration of 34 possible measurements obtained during the first day of admission to ICU. 6 In 1985 Knaus et al developed APACHE II scoring system incorporating age and chronic health problems to physiological and laboratory values.…”

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confidence: 99%

Comparison of bedside index of severity in acute pancreatitis (BISAP) and acute physiology and chronic health evaluation (APACHE II) score in assessing severity of acute pancreatitis

2017

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Background: Acute Pancreatitis (AP) is one among the major diseases in the surgery wards with high rate of mortality. In spite of many scoring systems introduced to grade the severity of AP for optimal and timely management, mortality rate is still in a high pace. The aim of this study is to compare BISAP scoring system and APACHE II scoring system for accuracy and easiness in predicting the severity and mortality of AP and to deliver appropriate and timely intervention.Methods: The first 100 patients with AP in the year 2016 (January to August) were studied prospectively by calculating APACHE II score and BISAP score. According to Revised Atlanta classification severe AP was ascertained and the sensitivity and specificity of both scoring systems were assessed from chi square table. By using ROC curve accuracy and diagnostic value of two scoring systems were compared.Results: 100 patients with an age ranging from 20 to 80 years with a mean of 41.18 and male female ratio of 10.1:1 were studied. 95% of the patients presented with a symptom of abdominal pain and 49 out of 100 were having alcoholism as etiology. The average hospital stay of the patients was 12.03 days. Four patients died out of 11 severe AP and rest 89 were grouped into mild AP. BISAP score more than or equal to three have 64.2% chance of severe AP and was statistically significant in predicting the severity of AP. Areas under curve of the ROC curve after depicting the sensitivity and specificity of BISAP scores for severity and mortality were 0.90 and 0.96 respectively. APACHE II scores more than or equal to nine have 23.8% chance of severe AP and was statistically significant in predicting severity of AP. When sensitivity and specificity of APACHE II score were charted in ROC curve, areas under curve were 0.853 and 0.75 for severity and mortality in AP respectively.Conclusions: Compared to APACE II, BISAP is better scoring system in predicting both severity and mortality of AP on considering accuracy and easiness.

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Comparison of bedside index of severity in acute pancreatitis (BISAP) and acute physiology and chronic health evaluation (APACHE II) score in assessing severity of acute pancreatitis

2017

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“…Patients with CB − had worse outcomes in terms of needing more ICU care but median length of stay for both groups was not statistically significant (P=0.15). SIRS, & BISAP scores and Balthazar CT severity index have been shown to be reliable indicators in predicting severity of pancreatitis (38)(39)(40)(41)(42) and have comparable efficacy in predicting the severity of AP (43,44). We also used the BUN level as a marker of disease severity in our study, as BUN has been shown to be a marker of persistent organ failure in AP (14) and any BUN above 20 mg/dL and any rise in BUN have been associated with mortality (15,45).…”

Section: Discussionmentioning

confidence: 99%

Severity and outcomes of acute alcoholic pancreatitis in cannabis users

Goyal

Guerreso

Smith

et al. 2017

Transl. Gastroenterol. Hepatol.

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“…15 Different modalities are available for predicting aetiology, severity and outcome of acute pancreatitis with different sensitivity and specificity. Moreover some are not widely available, some are very expensive.…”

Section: Discussionmentioning

confidence: 99%

Serum Lipase Amylase Ratio in Predicting Aetiology, Severity and Outcome of Acute Pancreatitis in a Tertiary Care Hospital

Haque

Azam

Sarkar

et al. 2017

Bangladesh Crit Care J

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Comparison of scoring systems in predicting the severity of acute pancreatitis

Abstract: Various scoring systems showed similar predictive accuracy for severity of AP. Unique models are needed in order to achieve further improvement of prognostic accuracy.

Cited by 166 publications

References 35 publications

Comparison of bedside index of severity in acute pancreatitis (BISAP) and acute physiology and chronic health evaluation (APACHE II) score in assessing severity of acute pancreatitis

Comparison of bedside index of severity in acute pancreatitis (BISAP) and acute physiology and chronic health evaluation (APACHE II) score in assessing severity of acute pancreatitis

Severity and outcomes of acute alcoholic pancreatitis in cannabis users

Serum Lipase Amylase Ratio in Predicting Aetiology, Severity and Outcome of Acute Pancreatitis in a Tertiary Care Hospital

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