Usefulness of the Bedside Index for Severity in Acute Pancreatitis in the Early Prediction of Severity and Mortality in Acute Pancreatitis

Cho, Young-Seok; Kim, Hyung-Keun; Jang, Eun-Chul; Yeom, Ju-Ok; Kim, Sun‐Young; Yu, Ji-Youn; Kim, Yun-Ji; Do, Kyong-Rock; Kim, Sung‐Soo; Chae, Hiun-Suk

doi:10.1097/mpa.0b013e318267c879

Cited by 51 publications

(58 citation statements)

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“…The accuracy of BUN and BISAP scoring system in predicting the severity of AP has been validated (11,24). According to previous studies, the AUROC of BUN in predicting OF was 0.81 (19) and in predicting persistent OF was 0.73 (12), suggesting that the predictive ability of BUN was low to moderate.…”

Section: Discussionmentioning

confidence: 99%

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Early prediction of organ failure under the revised Atlanta classification

Liu

Cao²,

Dong³

et al. 2020

Turk J Gastroenterol

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Section: Discussionmentioning

confidence: 99%

“…However, the majority of studies adopted the definition of OF as proposed in AC (9). In addition, the time from onset to hospital admission was not clearly defined (10)(11)(12)(13), and the predictors were often assessed at >3 days after admission (14,15).…”

Section: Introductionmentioning

confidence: 99%

Early prediction of organ failure under the revised Atlanta classification

Liu

Cao²,

Dong³

et al. 2020

Turk J Gastroenterol

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“…This was similar compared to study by Cho Y, Kim H et al which had a male sex (69%) and alcohol as a etiology (42%) in their study population except that the study group had 299 population. 7 The most common cause of AP in most areas of the world is gallstones, accounting for at least 35% to 40% of cases. 8,9 In recent cohort studies of BISAP, gallstones were the leading cause (27%-36%) of AP, and alcohol was the second or third leading cause (14% -21.4%).…”

Section: Discussionmentioning

confidence: 99%

Prospective evaluation of the BISAP score and its correlation with Marshall score in predicting severity of organ failure in acute pancreatitis

et al. 2017

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Background: The bedside index for severity in acute pancreatitis (BISAP), a newer prognostic scoring system, has been proposed as a simple and clinically oriented severity scoring system for early identification of patients with acute pancreatitis. This study evaluates the efficacy of BISAP score to predict the severity of organ failure in patients of acute pancretitis and its correlation with Marshall score.Methods: The clinical, laboratory and radiological data for all patients admitted with a diagnosis of acute pancreatitis conducted at tertiary hospital of Armed Forces over a two-year period, was prospectively collected for this study. BISAP score was calculated within 24hrs of presentation. Markers of severity were the development of organ failure and presence of pancreatic necrosis. Outcome at 28 days (viz. recovery, organ failure and mortality) was studied for each patient. BISAP score computed at 24h was correlated with the above and its efficacy to predict the severity of organ failure in Acute Pancreatitis, was assessed.Results: Out of 50 patients in the study group, 41 were male and 9 were female with the mean (±SD) age 43.74±16.85 years. Majority of the study population had alcohol (56%) as the etiology followed by gall stones (28%). Outcome assessed at 28 days revealed recovery of 54%, complication of 36% and mortality of 10% of study population. BISAP score computed within 24 hours of admission of 2 or more significantly predicted the severity and complication with P value <0.001. Statistically significant trends of increasing severity and organ failure (P<0.001) with increasing BISAP was observed.Conclusions: BISAP score is a reliable means of predicting the severity and organ failure and stratifying patients with Acute Pancreatitis within 24 hours of admission. The statistically significant incidence of increasing severity and mortality with increasing BISAP score will help us to risk stratify the patients within 24 hours of admission and help improve clinical care and facilitate necessary interventions as early as possible.

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“…Termed ''PancMap,'' this resource provides an algorithm for establishing the diagnosis and severity of disease using the Bedside Index for Severity in Acute Pancreatitis (BISAP) score (Table 5), as well as calculations of initial intravenous fluid requirements and end points per goaldirected resuscitation. The BISAP score was chosen as a quick, easy method to assess severity of acute pancreatitis; multiple studies have confirmed that the BISAP predicts severity, death, and organ failure in acute pancreatitis as well as APACHE II does and better than Ranson criteria, CT severity index, and other scoring systems [43][44][45].…”

Section: Resuscitationmentioning

confidence: 99%