Utility of Bedside Index For Severity In Acute Pancreatitis Score

Batool Zehra, Mir Arsalan Ali, Sughra Perveen, Rabbia Zubair, Javeria Kamran, Mazhar Iqbal

Abstract

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.

Key words

Acute pancreatitis, Bedside Index for severity in acute pancreatitis (BISAP) score, Systemic inflammatory response syndrome (SIRS).