Prospective evaluation of BISAP scoring in assessing severity in acute pancreatitis

BACKGROUND AND OBJECTIVE: Several scoring systems have been used in the past to assess severity and outcome in acute pancreatitis. To assess the ability of the BISAP score to predict which patients are at risk for intermediate markers of severity including the development of organ failure, persistent organ failure and pancreatic necrosis. METHODS : A prospective study was done between November 2014 to June 2015. 50 patients who presented to Government Royapettah Hospital and diagnosed as acute pancreatitis were included in the study. Full history, clinical examination, ultrasound abdomen and laboratory blood test were done for all patients and BISAP score assigned for all patients with acute pancreatitis. RESULTS : 90 % were found to be males 96% of patients were presented with abdominal pain as chief complaint .Mean length of hospital stay was found to be 13.98 days. Alcohol was found to be the commonest cause of acute pancreatitis, in 54% of patients. BISAP score was found to have high sensitivity (80%) and specificity (88.89%) in predicting necrosis, and high sensitivity (83.33%) and specificity (90%) in predicting organ failure. Sensitivity and specificity in predicting mortality was found to be 100% and 95.83 % respectively. CONCLUSION : BISAP scoring is a simple and bedside scoring system with high sensitivity and specificity in predicting disease severity in terms or necrosis, organ failure and mortality.