Shireen A A Ramzanali Damani, Zia-ul islam, Khalid Rasheed, Afshan Hashami.
Predicting Severity of Pancreatitis and its Mortality-Comparison of BISAP and Ranson Scoring Systems.
J Surg Pak Nov ;21(1):9-12.

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 & 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.

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