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. 2019 Jul-Aug;35(4):1008-1012.
doi: 10.12669/pjms.35.4.1286.

Accuracy of BISAP score in prediction of severe acute pancreatitis

Anum Arif  1 , Farhat Jaleel  2 , Khalid Rashid  3
Affiliations

Accuracy of BISAP score in prediction of severe acute pancreatitis

Anum Arif et al. Pak J Med Sci. 2019 Jul-Aug.

Abstract

Objective: To determine the accuracy of BISAP score in comparison with Ranson's score in detection of severe acute pancreatitis.

Methods: This cross sectional study was performed in Emergency department and Surgery department of Dow university hospital from January 2015 to December 2015. A total of 206 patients were included. Those diagnosed with acute pancreatitis on the basis of epigastric pain, serum amylase levels more than 300 (more than 3 times normal) and meeting the inclusion criteria were subjected to investigations for Ranson's and BISAP scoring. BISAP score was calculated at 24 hours and Ranson's score both at 24 and 48 hours. A score of > 3 was used to label severe acute pancreatitis according to both scoring systems.

Results: In our study accuracy to predict SAP by BISAP score was 76.2 % and Ranson's score was 82.2%. On the basis of sensitivity, Ranson's scores predicted SAP more accurately than BISAP scores (97.4% vs. 69.2%). Regarding specificity, both scores predicted SAP almost equally (78.4% vs. 77.8%).

Conclusion: BISAP score is a valuable tool in predicting severe Acute Pancreatitis in early hours.

Keywords: BISAP score; Ranson’s score; Severe Acute pancreatitis.

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Figures

Fig. 1
Fig. 1
Receiver operation characteristic (ROC) curve of Ranson’s scores in predicting SAP.
Fig. 2
Fig. 2
Receiver operation characteristic (ROC) curve of BISAP scores in predicting SAP.
See this image and copyright information in PMC

References

    1. Papachristou GI, Clermont G, Sharma A. Risk and markers of severe acute. Pancreatitis Gastroenterol Clin North Am. 2007;36:277–296. doi:10.1016/j.gtc.2007.03.003. - PubMed
    1. Forsmark CE, Baillie J. AGA Institute technical review on acute pancreatitis. Gastroenterol. 2007;132:2022–2044. doi:10.1053/j.gastro.2007.03.065. - PubMed
    1. Peery AE, Dellon ES, Lund J. Burden of gastrointestinal diseases in the United States:2012 Update. Gastroenterol. 2012;143(5):1179–1187. doi:10.1053/j.gastro.2012.08.002. - PMC - PubMed
    1. Tenner S, Baillie J, DeWitt J, Vege SS. American College of Gastroenterology Guideline:Management of Acute Pancreatitis. Am J Gastroenterol. 2013;108(9):1400–1415. doi:10.1038/ajg.2013.218. - PubMed
    1. Papachristou GI, Muddana V, Yadav D, O'Connell M, Sanders MK, Slivka A, et al. Comparison of BISAP, Ranson's, APACHE-II, and CTSI Scores in predicting organ Failure, complications, and mortality in acute pancreatitis. Am J Gastroenterol. 2010;105(2):435–441. doi:10.1038/ajg.2009.28. - PubMed

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