DIAGNOSTIC EVALUATION OF BISAP SCORING SYSTEM ON PREDICTING SEVERITY OF ACUTE PANCREATITIS
Main Article Content
Keywords
Acute Pancreatitis; BISAP; Severity Prediction.
Abstract
Background
Acute pancreatitis is a significant health concern requiring timely evaluation and management. It can lead to multi-organ dysfunction and increased mortality. The BISAP (Bedside Index of Severity in Acute Pancreatitis) is a simple scoring system that assesses severity at admission using routine clinical and laboratory parameters. This study evaluates the effectiveness of BISAP in predicting acute pancreatitis severity.
Methods
A cross-sectional study was conducted on acute pancreatitis cases admitted to the Department of General Surgery, Government Medical College, Thiruvananthapuram, over one year. Patients were assessed using the BISAP score at admission and followed up at seven days and six weeks. The BISAP score was compared with the Revised Atlanta Classification 2012 for severity grading. Statistical analysis was performed using appropriate software.
Results
Among 60 patients (49 males, 11 females; mean age 40.2±15.8 years), 47 had mild, 4 had moderately severe, and 9 had severe acute pancreatitis based on the Revised Atlanta Classification. Thirteen patients had a BISAP score indicative of severe pancreatitis. The BISAP score showed 100% sensitivity, 92.2% specificity, and 93.3% overall accuracy in predicting severity. The positive predictive value was 69.2%, and the negative predictive value was 100%. Six early deaths occurred, all classified as severe by BISAP. The BISAP score also had 100% sensitivity and NPV in predicting mortality (p < 0.01).
Conclusion
The BISAP score is a reliable predictor of severity and mortality in acute pancreatitis. It enables early
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Dr. Muzammil Haneef
Assistant Professor, Department of General Surgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Dr. Manoj Kumar N
Assistant Professor, Department of General Surgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Dr. Albin Jose
Assistant Professor, Department of General Surgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Dr. Randheer Saseendran
Assistant Professor, Department of General Surgery Government Medical College, Thiruvananthapuram, Kerala, India.