Comparison of BISAP score with Ranson’s score in predicting severe acute pancreatitis

Objectives: To compare BISAP score with Ranson’s scoring in predicting severity of acute pancreatitis Methods: Extensive demographic, radiographic, and laboratory data from consecutive patients with AP admitted to our institution was collected between March 2014 to March 2015. Ranson’s and BISAP s...

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Autores principales:	D Karki, T Tamang, D Maharjan, P Thapa, S Shrestha
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Acute Pancreatitis Severity BISAP Ranson’s score Surgery RD1-811
Acceso en línea:	https://doaj.org/article/1a5ff3d5a7964025a00b3c73a443a09b
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spelling	oai:doaj.org-article:1a5ff3d5a7964025a00b3c73a443a09b2021-12-05T19:16:34ZComparison of BISAP score with Ranson’s score in predicting severe acute pancreatitis10.3126/jssn.v18i3.153061815-39842392-4772https://doaj.org/article/1a5ff3d5a7964025a00b3c73a443a09b2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15306https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Objectives: To compare BISAP score with Ranson’s scoring in predicting severity of acute pancreatitis Methods: Extensive demographic, radiographic, and laboratory data from consecutive patients with AP admitted to our institution was collected between March 2014 to March 2015. Ranson’s and BISAP score was calculated. Severity of pancreatitis was defined according to Atlanta classification. Sensitivity, Specificity, PPV, NPV of both the scoring system was calculated and compared. Results: A total of 42 patients with diagnosis of acute pancreatitis were included during the study period. 21(50%) were male and 21(50%) were female. Mean age is 49.52 ± 17.37.Most common etiology was biliary (45%) followed by alcohol (31%). 20 (48%) patients were categorized as severe pancreatitis according to Atlanta classification. 21 (50%) patients had a Ranson’s score of ≥3 and 19 (45.24%) patients had a BISAP score of ≥3. Both Ranson’s and BISAP scoring system was statistically significant in determining SAP ( p-value = 0.002). Sensitivity, specificity, PPV and NPV of Ranson’s and BISAP score was calculated to be 75%, 72.72%, 71.43%, 76.19% and 70%, 77.27%, 73.68%, 73.91%. respectively. The AUC for SAP by Ranson’s score is 0.7386 ; 95%CI (0.602 - 0.874) and BISAP score is 0.7364 ; 95% CI ( 0.599 - 0.872). Conclusions: Both Ranson’s and BISAP scoring system is similar in predicting SAP. However BISAP has the advantage due to its simplicity. D KarkiT TamangD MaharjanP ThapaS ShresthaSociety of Surgeons of NepalarticleAcute PancreatitisSeverityBISAPRanson’s scoreSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute Pancreatitis Severity BISAP Ranson’s score Surgery RD1-811
spellingShingle	Acute Pancreatitis Severity BISAP Ranson’s score Surgery RD1-811 D Karki T Tamang D Maharjan P Thapa S Shrestha Comparison of BISAP score with Ranson’s score in predicting severe acute pancreatitis
description	Objectives: To compare BISAP score with Ranson’s scoring in predicting severity of acute pancreatitis Methods: Extensive demographic, radiographic, and laboratory data from consecutive patients with AP admitted to our institution was collected between March 2014 to March 2015. Ranson’s and BISAP score was calculated. Severity of pancreatitis was defined according to Atlanta classification. Sensitivity, Specificity, PPV, NPV of both the scoring system was calculated and compared. Results: A total of 42 patients with diagnosis of acute pancreatitis were included during the study period. 21(50%) were male and 21(50%) were female. Mean age is 49.52 ± 17.37.Most common etiology was biliary (45%) followed by alcohol (31%). 20 (48%) patients were categorized as severe pancreatitis according to Atlanta classification. 21 (50%) patients had a Ranson’s score of ≥3 and 19 (45.24%) patients had a BISAP score of ≥3. Both Ranson’s and BISAP scoring system was statistically significant in determining SAP ( p-value = 0.002). Sensitivity, specificity, PPV and NPV of Ranson’s and BISAP score was calculated to be 75%, 72.72%, 71.43%, 76.19% and 70%, 77.27%, 73.68%, 73.91%. respectively. The AUC for SAP by Ranson’s score is 0.7386 ; 95%CI (0.602 - 0.874) and BISAP score is 0.7364 ; 95% CI ( 0.599 - 0.872). Conclusions: Both Ranson’s and BISAP scoring system is similar in predicting SAP. However BISAP has the advantage due to its simplicity.
format	article
author	D Karki T Tamang D Maharjan P Thapa S Shrestha
author_facet	D Karki T Tamang D Maharjan P Thapa S Shrestha
author_sort	D Karki
title	Comparison of BISAP score with Ranson’s score in predicting severe acute pancreatitis
title_short	Comparison of BISAP score with Ranson’s score in predicting severe acute pancreatitis
title_full	Comparison of BISAP score with Ranson’s score in predicting severe acute pancreatitis
title_fullStr	Comparison of BISAP score with Ranson’s score in predicting severe acute pancreatitis
title_full_unstemmed	Comparison of BISAP score with Ranson’s score in predicting severe acute pancreatitis
title_sort	comparison of bisap score with ranson’s score in predicting severe acute pancreatitis
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/1a5ff3d5a7964025a00b3c73a443a09b
work_keys_str_mv	AT dkarki comparisonofbisapscorewithransonsscoreinpredictingsevereacutepancreatitis AT ttamang comparisonofbisapscorewithransonsscoreinpredictingsevereacutepancreatitis AT dmaharjan comparisonofbisapscorewithransonsscoreinpredictingsevereacutepancreatitis AT pthapa comparisonofbisapscorewithransonsscoreinpredictingsevereacutepancreatitis AT sshrestha comparisonofbisapscorewithransonsscoreinpredictingsevereacutepancreatitis
_version_	1718371048529854464

Comparison of BISAP score with Ranson’s score in predicting severe acute pancreatitis

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