DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS

Objective: To determine the diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis score in predictting outcomes in terms of mortality and severe acute pancreatitis in patients presenting with acute pancreatitis. Study Design: Cross sectional validation study. Place and Duratio...

Full description

Bibliographic Details
Main Authors: Sarah Fatima, Waqas Ahmed, Khalid Ibrahim Akhtar, Muhammad Khalid Siddique, Rabia Mushtaq, Syed Muhammad Hashim Raza
Format: Article
Language:English
Published: The Army Press 2020-10-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://pafmj.org/index.php/PAFMJ/article/view/5596
id doaj-a57550c1982447b997699498689e41b8
record_format Article
spelling doaj-a57550c1982447b997699498689e41b82021-09-13T03:39:20ZengThe Army PressPakistan Armed Forces Medical Journal0030-96482411-88422020-10-0170515111515DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITISSarah Fatima0Waqas Ahmed1Khalid Ibrahim Akhtar2Muhammad Khalid Siddique3Rabia Mushtaq4Syed Muhammad Hashim Raza5Combined Military Hospital Malir/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Malir/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Malir/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Malir/National University of Medical Sciences (NUMS) PakistanDistrict Headquarter Hospital, Sargodha PakistanKing Fahad Hospital, Taif Saudi ArabiaObjective: To determine the diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis score in predictting outcomes in terms of mortality and severe acute pancreatitis in patients presenting with acute pancreatitis. Study Design: Cross sectional validation study. Place and Duration of Study: Department of Surgery, Combined Military Hospital Malir, from Mar 2019 to Nov 2019. Methodology: A total of 125 patients with the diagnosis of acute biliary pancreatitis were enrolled in the study. Bedside Index of Severity in Acute Pancreatitis score values were worked out for all patients within 24 hours of presentation. The mortality rate and frequency of severe acute pancreatitis was determined. Sensitivity, specificity, negative predictive value, positive predictive value, and diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis Score was calculated. Results: The mortality rate was 14 (11.2%) and the frequency of severe acute pancreatitis was 41 (32.8%). Bedside Index of Severity in Acute Pancreatitis Score of ≥3 had a sensitivity of 92.86%, specificity of 83.93%, and diagnostic accuracy of 85.6% in predicting mortality in acute pancreatitis. Similarly Bedside Index of Severity in Acute Pancreatitis Score of ≥3 had a sensitivity of 63.41%, specificity of 94.05%, and diagnostic accuracy of 84% in predicting severe acute pancreatitis in patients of acute pancreatitis. Conclusion: Bedside Index of Severity in Acute Pancreatitis Score of ≥3 has a high diagnostic accuracy in predicting severity and is a valuable tool for early assessment of patients with acute pancreatitis.https://pafmj.org/index.php/PAFMJ/article/view/5596acute pancreatitisbisap scoremortalitysevere acute pancreatitis.
collection DOAJ
language English
format Article
sources DOAJ
author Sarah Fatima
Waqas Ahmed
Khalid Ibrahim Akhtar
Muhammad Khalid Siddique
Rabia Mushtaq
Syed Muhammad Hashim Raza
spellingShingle Sarah Fatima
Waqas Ahmed
Khalid Ibrahim Akhtar
Muhammad Khalid Siddique
Rabia Mushtaq
Syed Muhammad Hashim Raza
DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
Pakistan Armed Forces Medical Journal
acute pancreatitis
bisap score
mortality
severe acute pancreatitis.
author_facet Sarah Fatima
Waqas Ahmed
Khalid Ibrahim Akhtar
Muhammad Khalid Siddique
Rabia Mushtaq
Syed Muhammad Hashim Raza
author_sort Sarah Fatima
title DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_short DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_full DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_fullStr DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_full_unstemmed DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_sort diagnostic accuracy of bedside index of severity in acute pancreatitis (bisap) score in predicting outcomes in patients presenting with acute pancreatitis
publisher The Army Press
series Pakistan Armed Forces Medical Journal
issn 0030-9648
2411-8842
publishDate 2020-10-01
description Objective: To determine the diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis score in predictting outcomes in terms of mortality and severe acute pancreatitis in patients presenting with acute pancreatitis. Study Design: Cross sectional validation study. Place and Duration of Study: Department of Surgery, Combined Military Hospital Malir, from Mar 2019 to Nov 2019. Methodology: A total of 125 patients with the diagnosis of acute biliary pancreatitis were enrolled in the study. Bedside Index of Severity in Acute Pancreatitis score values were worked out for all patients within 24 hours of presentation. The mortality rate and frequency of severe acute pancreatitis was determined. Sensitivity, specificity, negative predictive value, positive predictive value, and diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis Score was calculated. Results: The mortality rate was 14 (11.2%) and the frequency of severe acute pancreatitis was 41 (32.8%). Bedside Index of Severity in Acute Pancreatitis Score of ≥3 had a sensitivity of 92.86%, specificity of 83.93%, and diagnostic accuracy of 85.6% in predicting mortality in acute pancreatitis. Similarly Bedside Index of Severity in Acute Pancreatitis Score of ≥3 had a sensitivity of 63.41%, specificity of 94.05%, and diagnostic accuracy of 84% in predicting severe acute pancreatitis in patients of acute pancreatitis. Conclusion: Bedside Index of Severity in Acute Pancreatitis Score of ≥3 has a high diagnostic accuracy in predicting severity and is a valuable tool for early assessment of patients with acute pancreatitis.
topic acute pancreatitis
bisap score
mortality
severe acute pancreatitis.
url https://pafmj.org/index.php/PAFMJ/article/view/5596
work_keys_str_mv AT sarahfatima diagnosticaccuracyofbedsideindexofseverityinacutepancreatitisbisapscoreinpredictingoutcomesinpatientspresentingwithacutepancreatitis
AT waqasahmed diagnosticaccuracyofbedsideindexofseverityinacutepancreatitisbisapscoreinpredictingoutcomesinpatientspresentingwithacutepancreatitis
AT khalidibrahimakhtar diagnosticaccuracyofbedsideindexofseverityinacutepancreatitisbisapscoreinpredictingoutcomesinpatientspresentingwithacutepancreatitis
AT muhammadkhalidsiddique diagnosticaccuracyofbedsideindexofseverityinacutepancreatitisbisapscoreinpredictingoutcomesinpatientspresentingwithacutepancreatitis
AT rabiamushtaq diagnosticaccuracyofbedsideindexofseverityinacutepancreatitisbisapscoreinpredictingoutcomesinpatientspresentingwithacutepancreatitis
AT syedmuhammadhashimraza diagnosticaccuracyofbedsideindexofseverityinacutepancreatitisbisapscoreinpredictingoutcomesinpatientspresentingwithacutepancreatitis
_version_ 1717381616401121280