Abstract :
Background: There are many multifactorial scoring systems, radiological scores and biochemical markers available for early prediction of severity and mortality in patients with acute pancreatitis(AP). The bedside index for severity in acute pancreatitis (BISAP) Score has been considered as an accurate method of risk stratification in patients with acute pancreatitis.
Objective: To assess and classify patients with acute pancreatitis according to bedside index for severity in acute pancreatitis (BISAP) Score and to corelate the prognosis of the patients with the BISAP score.
Methodology: Records of patients who are admitted with acute pancreatitis in Mandya Institute of Medical Sciences, Mandya between January 2018 and December 2019 (2 year period) was studied, 152 acute pancreatitis cases were admitted during this period. All the cases records were analysed. Those diagnosed with acute pancreatitis on the basis of epigastric pain, serum amylase and serum lipase levels more than 3 times normal were subjected to investigations for BISAP scoring. BISAP score was calculated at 24 hours. A score of > 3 was used to label severe acute pancreatitis(SAP) according to the scoring system. Statistical analysis was made using the student t test and chi-square test and statistical significance was analysed.
Results: In our study Out of 152 patients, 26% had severe acute pancreatitis. Acute Pancreatitis was seen in male (78%), in 4th decade (65%), alcohol was the most common aetiology (52%), followed by biliary pancreatitis (33%), remaining idiopathic (15%). Patients with BISAP >= 3 was associated with transient or persistent organ failure and pancreatic necrosis. Accuracy to predict SAP by BISAP score was 63.3 %, on the basis of sensitivity.
Conclusion: BISAP score is a valuable tool in classifying patients of Acute Pancreatitis for severity and for predicting the prognosis in early hours.
Keyword :
Acute pancreatitis, BISAP score pancreatic necrosis organ failure.