COMPARATIVE STUDY BETWEEN BISAP SCORING SYSTEM AND C–REACTIVE PROTEIN LEVEL IN PREDICTING SEVERITY AND MORTALITY OF ACUTE PANCREATITIS

Dr.K.B.Singh; Dr.B.C.Kalita; Dr.R.K.Kotokey

Volume : VII, Issue : X, October - 2017

COMPARATIVE STUDY BETWEEN BISAP SCORING SYSTEM AND C–REACTIVE PROTEIN LEVEL IN PREDICTING SEVERITY AND MORTALITY OF ACUTE PANCREATITIS

Dr. K. B. Singh, Dr. B. C. Kalita, Dr. R. K. Kotokey

Abstract :

Background. Various scoring systems and biochemical markers may help in early prediction of severity and mortality in patients with acute pancreatitis (AP).

Methods. Bedside index for severity of acute pancreatitis (BISAP) were calculated using data within 24 hours of admission and C–reactive protein (CRP) level were also measured on admission. Predictive accuracy of BISAP and CRP in prediction of severe acute pancreatitis (SAP) and mortality were calculated.

Results. Out of 91 patients, 18 patients had organ failure and 17 patients had local complication. 23 patients were classified as having SAP and 8 died. Area under receiver operating curves for BISAP and CRP in predicting SAP were 0.918 and 0.823 respectively, and for mortality were 0.983 and 0.881 respectively.

Conclusion. BISAP is a better predictor of severity and mortality than CRP in acute pancreatitis. Hence, it should be evaluated in all patients with acute pancreatitis.