A prospective study of the Bedside Index for Severity in Acute Pancreatitis (BISAP) score in acute pancreatitis: An Indian perspective |
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| Affiliation: | 1. Department of Gastroenterology, St. Antonius Hospital Nieuwegein, The Netherlands;2. Department of Surgery, St. Antonius Hospital Nieuwegein, The Netherlands;3. Department of Surgery, Academic Medical Center Amsterdam, The Netherlands;4. Department of Radiology, St. Antonius Hospital Nieuwegein, The Netherlands;1. Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Republic of Korea;2. Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea;1. Dept. of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands;2. Dept. of Operation Theatres and Department of Health Evidence, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands;3. Dept. of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain;4. Dept. of Surgery, Southampton General Hospital, University of Southampton, UK;5. Dept. of Surgery, Nutritional and Metabolic Unit, University of Patras, Patras, Greece;6. Dept. of Thoracic Surgery, Swedish Cancer Instititute and Medical Center, Seattle, WA, USA;7. Dept. of Surgery, Petz Aladár Teaching Hospital, Györ, Hungary;8. Physicians Division of Gastroenterology, Hepatology & Nutrition, University of Pittsburgh, PA, USA;9. Dept. of Surgery, University of Auckland, Auckland, New Zealand;10. Scottish Liver Transplant Unit, Royal Infirmary of Edinburgh, Edinburgh, UK;11. Dept. of Surgery, Amsterdam Medical Center, Amsterdam, The Netherlands;1. Department of Thoracic Surgery, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan city, Hubei province 430060, PR China;2. Department of Pancreatic Surgery, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan city, Hubei province 430060, PR China;1. Asian Institute of Gastroenterology, Hyderabad, India;2. Asian Healthcare Foundation, Hyderabad, India;3. Nemcare Hospital, Guwahati, India;1. Department of Gastroenterology and Hepatology, Mother and Child Health Care Institute, Faculty of Medicine, University of Belgrade, Serbia;2. Department of Immunology, Mother and Child Health Care Institute, Faculty of Medicine, University of Belgrade, Serbia;3. Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Serbia;4. Department of Gastroenterology and Hepatology, Clinical Center “Bezanijska Kosa”, Faculty of Medicine, University of Belgrade, Serbia |
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| Abstract: | IntroductionA simple and easily applicable system for stratifying patients with acute pancreatitis is lacking. The aim of our study was to evaluate the ability of BISAP score to predict mortality in acute pancreatitis patients from our institution and to predict which patients are at risk for development of organ failure, persistent organ failure and pancreatic necrosis.MethodsAll patients with acute pancreatitis were included in the study. BISAP score was calculated within 24 h of admission. A Contrast CT was used to differentiate interstitial from necrotizing pancreatitis within seven days of hospitalization whereas Marshall Scoring System was used to characterize organ failure.ResultsAmong 246 patients M:F = 153:93, most common aetiology among men was alcoholism and among women was gallstone disease. 207 patients had no organ failure and remaining 39 developed organ failure. 17 patients had persistent organ failure, 16 of those with BISAP score ≥3. 13 patients in our study died, out of which 12 patients had BISAP score ≥3. We also found that a BISAP score of ≥3 had a sensitivity of 92%, specificity of 76%, a positive predictive value of 17%, and a negative predictive value of 99% for mortality.DiscussionThe BISAP score is a simple and accurate method for the early identification of patients at increased risk for in hospital mortality and morbidity. |
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| Keywords: | Acute pancreatitis BISAP score Pancreas Severe acute pancreatitis Organ failure Mortality |
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