Predicting severity of pancreatitis and its mortality-comparison of BISAP and Ranson scoring systems
JSP-Journal of Surgery Pakistan International. 2016; 21 (1): 9-12
em En
| IMEMR
| ID: emr-183722
Biblioteca responsável:
EMRO
Objective: to find out the prognostic significance of BISAP scoring system and its accuracy in predicting the severity of acute pancreatitis in comparison with Ranson criteria
Study design: cross-sectional study
Place and Duration of study: Department of General Surgery ward 26 Jinnah Postgraduate Medical Centre [JPMC] Karachi, from January 2013 to December 2014
Methodology: Patients of either gender more the 14 year of age with acute pancreatitis admitted through emergency department were included. All the patients were scored according to the Ranson criteria [at time of admission and at first 48 hours post admission] and BISAP score [in first 24 hours of admission]. Patients were categorized having mild or severe acute pancreatitis on the basis of organ failure for more than 48 hours and these patients were treated in HDU/ICU according to the standard protocol
Results: a total of 50 patients diagnosed as acute pancreatitis were admitted during the study period. The mean age of the patients was 43.48 +/- 15.75 year with the age range from 15 year to 75 year. There were 30 [60%] females and 20 [40%] males with F:M ratio of 1.5: 1. The duration of hospital stay was 2-50 days with mean of 12.15 +/- 5.85 days. Nine [18%] patients developed persistent organ failure for more than 48 hours and were classified as having severe acute pancreatitis. These patients underwent contrast CT- scan abdomen on day 3 of admission. Three of them had necrotizing pancreatitis. The frequency of severe form of acute pancreatitis stratified by the BISAP and Ranson score were both statistically significant [p < 0.001]. Three [6%] patients died during their hospital stay [mortality rate 6%]. All the three patients who died had Ranson score > 3 and BISAP score = 3 respectively
Conclusion: in predicting the frequency of severity and mortality in patients with acute pancreatitis the BISAP scoring system is equally effective as Ranson scoring system
Study design: cross-sectional study
Place and Duration of study: Department of General Surgery ward 26 Jinnah Postgraduate Medical Centre [JPMC] Karachi, from January 2013 to December 2014
Methodology: Patients of either gender more the 14 year of age with acute pancreatitis admitted through emergency department were included. All the patients were scored according to the Ranson criteria [at time of admission and at first 48 hours post admission] and BISAP score [in first 24 hours of admission]. Patients were categorized having mild or severe acute pancreatitis on the basis of organ failure for more than 48 hours and these patients were treated in HDU/ICU according to the standard protocol
Results: a total of 50 patients diagnosed as acute pancreatitis were admitted during the study period. The mean age of the patients was 43.48 +/- 15.75 year with the age range from 15 year to 75 year. There were 30 [60%] females and 20 [40%] males with F:M ratio of 1.5: 1. The duration of hospital stay was 2-50 days with mean of 12.15 +/- 5.85 days. Nine [18%] patients developed persistent organ failure for more than 48 hours and were classified as having severe acute pancreatitis. These patients underwent contrast CT- scan abdomen on day 3 of admission. Three of them had necrotizing pancreatitis. The frequency of severe form of acute pancreatitis stratified by the BISAP and Ranson score were both statistically significant [p < 0.001]. Three [6%] patients died during their hospital stay [mortality rate 6%]. All the three patients who died had Ranson score > 3 and BISAP score = 3 respectively
Conclusion: in predicting the frequency of severity and mortality in patients with acute pancreatitis the BISAP scoring system is equally effective as Ranson scoring system
Buscar no Google
Índice:
IMEMR
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
J. Surg. Pak. Int.
Ano de publicação:
2016