ABSTRACT

GJRA

GJRA - Global Journal For Research Analysis

2250 - 1991

Indian Society for Health and Advanced Research

gjra-7-11-9734

Original Research Paper

Comparison of different scoring systems in predicting the severity of acute pancreatitis

Milind

Parekh

Dr.

November 2018

7 11 01 02 ABSTRACT

&nbsp; AIM: to compare the different scoring systems in predicting the severity of acute pancreatitis (AP).<o:p></o:p> METHODS: We Prospectively analysed the database from consecutive patients with AP in VS Hospital between December 2017 and July 2018. Ranson, Acute Physiology and Chronic Health Evaluation (APACHE)-II, and bedside index for severity in acute pancreatitis (BISAP) scores of all patients were calculated. Predictive accuracy of scoreswere measured by different statistical analysis.<o:p></o:p> RESULTS: Of 60 patients, 7 (12%) were classified as severe AP, and 1 (1.9%) died. Statistically significant cutoff values for prediction of severe AP were Ranson &ge; 3, BISAP &ge; 2, APACHE-II &ge; 8, Negative predictive value is almost same in all where sensitivity are 86 %, 61.9 % and 81 % in RANSON, BISAP&nbsp; and APACHE scores. No statistically significant pairwise differences were observed between APACHE-II and the other scoring systems22.<o:p></o:p> CONCLUSION: Various scoring systems showed similar predictive accuracy for severity of AP. Unique models are needed in order to achieve further improvement of prognostic accuracy.<o:p></o:p>