The Effectiveness of The Bisap Score, a Quick and Easily accessible Test, in identifying Patients with Severe Acute Pancreatitis
Assistant Professor General Surgery, Peoples University of Medical and Health Sciences Nawabshah Pakistan
Registrar and Consultant General Surgeon, Peoples University of Medical and Health Sciences Nawabshah Pakistan
Assistant Professor General Surgery, Liaquat University of Medical and Health Sciences Jamshoro Pakistan
Assistant Professor Anatomy, Bhitai Dental and Medical College Mirpurkhas Pakistan
Associate Professor General Surgery, Mekran Medical College Turbat Balochistan Pakistan
Professor Community Medicine, Muhammad Medical and Dental College Mirpurkhas Pakistan
Abstract
Background: Acute pancreatitis (AP) is a difficult condition that has a high fatality rate. Acute pancreatitis patients typically have minor attacks at first, which often go away on their own without any aftereffects. But in 10?20% of people, it can progress to a severe form. In this form, it can result in a more severe systemic inflammatory response and a longer hospital stay due to higher mortality rates from local and systemic consequences. The widely used scoring method for acute pancreatitis, Ranson's criteria, accurately predicts death rates. The Acute Physiology and Chronic Health Examination (APACHE-II) is another widely used ICU scoring system for acute pancreatitis. The Bedside Index for Severity in Acute Pancreatitis (BISAP) is a new rating system that has gained popularity recently. Objective: To evaluate the effectiveness of the BISAP score, a quick and easily accessible test, in identifying patients with severe acute pancreatitis. Study design: A cross-sectional study Place and Duration: This study was conducted in Peoples University of Medical and Health Sciences Nawabshah from October 2022 to October 2023. Methodology: For a sample size, we have used the non-probability consecutive sampling technique. The participants in this study were aged from 30 to 60 years. All of the participants were diagnosed with acute pancreatitis. Their diagnosis was identified on the basis of a serum amylase level >300 units/litre and a BISAP score greater than 3. Each criterion in the BISAP scoring system is assigned a score of 1 upon admission. These scores are then added together to provide a cumulative score that can range from 0 to 5. After being entered into the SPSS version 17 program, the data was examined. Results: Participating in this study were 120 patients in total. In this study, there were 51.67% female participants and 48.33% male participants. The participants were 54 years old on average. Nine days were the typical hospital stay. The age range of the majority of the patients was thirty to fifty years old. The pancreas necrotized in the majority of the individuals. Conclusion: A BISAP score higher than 3 is strongly correlated with significant morbidity.
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