Keywords : Acute Pancreatitis, BISAP, APACHE II, severity.
Abstract
The present study was to evaluate the accuracy of Bedside Index for Severity in Acute Pancreatitis (BISAP) in predicting the severity and prognoses of Acute Pancreatitis (AP) in Indian patients. Clinical data for 70 patients with AP were analyzed prospectively to compare BISAP with Acute physiology and Chronic Health Evaluation II and Modified Computed Tomography Severity Index Score (MCTSI) in predicting the severity of AP and mortality, in patients with severe AP (SAP) using the Area Under the receiver-operating characteristic curve (AUC). There were significant correlations between the scores of any two systems. BISAP performed similarly to other scoring systems in predicting SAP, mortality in AP patients, in terms of the area under the receiver-operating characteristic curve. BISAP score is valuable in predicting the severity of AP and prognoses of SAP in Indian patients.
Conclusion: we compared BISAP scores with APACHE II, and CTSI scores in predicting the severity and prognoses of AP in Indian patients. We demonstrated that BISAP has the advantages of simplicity and speed over traditional scoring systems and performed similarly to other scoring systems in predicting SAP and the prognoses of SAP in AUC. We confirmed that the BISAP score is an accurate means for risk stratification and prognostic prediction in Indian patients with AP.
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