Batool Zehra, Mir Arsalan Ali, Sughra Perveen, Rabbia Zubair, Javeria Kamran, Mazhar Iqbal.
Utility of Bedside index for Severity in Acute Pancreatitis Score.
J Surg Pak Jan ;24(2):99-102.

Objective: To establish the utility of Bedside index for severity in acute pancreatitis (BISAP) score of more than 3 in patients with acute pancreatitis. Study design: Descriptive case series. Place & Duration of study: Department of Surgery Ward 3 Jinnah Postgraduate Medical Centre (JPMC) Karachi, from April 2014 to April 2017. Methodology: Patients having acute pancreatitis between 30 - 70 year of age, both gender, BISAP score > 3, and duration of disease < 7 days, were included. in first 24 hours BISAP score were calculated. Organ failure was assessed as PaO2 / FiO2 of <101 to 200 as respiratory failure, serum creatinine > 3.5mg/ dl as renal failure, systolic blood pressure (SBP) <90mm Hg and pH<7.3 as cardiovascular failure. Lack of delineation of pancreas on CT scan done with oral and IV contrast was taken as pancreatic necrosis. Mortality within 7 days of admission was noted. Results: Total number of patients was 116. There were 56 male and 60 female patients. Mean age of the patients was 54 year, and mean duration of disease 9 days. Frequency of outcome showed that respiratory failure was found in 21(18.10%), renal failure in 25 (21.60%), cardiovascular failure in 12 (10.30%), pancreatic necrosis in 81(69.80%) and mortality in 20 (17.20%) patients. Conclusion: the most common complication of BISAP score > 3 was necrosis of pancreas in 70% patients with 17% mortality in patients of acute pancreatitis.

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