DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS

Objective: To determine the diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis score in predictting outcomes in terms of mortality and severe acute pancreatitis in patients presenting with acute pancreatitis. Study Design: Cross sectional validation study. Place and Duratio...

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Autores principales:	Sarah Fatima, Waqas Ahmed, Khalid Ibrahim Akhtar, Muhammad Khalid Siddique, Rabia Mushtaq, Syed Muhammad Hashim Raza
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	acute pancreatitis bisap score mortality severe acute pancreatitis. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a57550c1982447b997699498689e41b8
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spelling	oai:doaj.org-article:a57550c1982447b997699498689e41b82021-12-02T17:20:45ZDIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS0030-96482411-8842https://doaj.org/article/a57550c1982447b997699498689e41b82020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5596https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis score in predictting outcomes in terms of mortality and severe acute pancreatitis in patients presenting with acute pancreatitis. Study Design: Cross sectional validation study. Place and Duration of Study: Department of Surgery, Combined Military Hospital Malir, from Mar 2019 to Nov 2019. Methodology: A total of 125 patients with the diagnosis of acute biliary pancreatitis were enrolled in the study. Bedside Index of Severity in Acute Pancreatitis score values were worked out for all patients within 24 hours of presentation. The mortality rate and frequency of severe acute pancreatitis was determined. Sensitivity, specificity, negative predictive value, positive predictive value, and diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis Score was calculated. Results: The mortality rate was 14 (11.2%) and the frequency of severe acute pancreatitis was 41 (32.8%). Bedside Index of Severity in Acute Pancreatitis Score of ≥3 had a sensitivity of 92.86%, specificity of 83.93%, and diagnostic accuracy of 85.6% in predicting mortality in acute pancreatitis. Similarly Bedside Index of Severity in Acute Pancreatitis Score of ≥3 had a sensitivity of 63.41%, specificity of 94.05%, and diagnostic accuracy of 84% in predicting severe acute pancreatitis in patients of acute pancreatitis. Conclusion: Bedside Index of Severity in Acute Pancreatitis Score of ≥3 has a high diagnostic accuracy in predicting severity and is a valuable tool for early assessment of patients with acute pancreatitis.Sarah FatimaWaqas AhmedKhalid Ibrahim AkhtarMuhammad Khalid SiddiqueRabia MushtaqSyed Muhammad Hashim RazaArmy Medical College Rawalpindiarticleacute pancreatitisbisap scoremortalitysevere acute pancreatitis.MedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1511-1515 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute pancreatitis bisap score mortality severe acute pancreatitis. Medicine R Medicine (General) R5-920
spellingShingle	acute pancreatitis bisap score mortality severe acute pancreatitis. Medicine R Medicine (General) R5-920 Sarah Fatima Waqas Ahmed Khalid Ibrahim Akhtar Muhammad Khalid Siddique Rabia Mushtaq Syed Muhammad Hashim Raza DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
description	Objective: To determine the diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis score in predictting outcomes in terms of mortality and severe acute pancreatitis in patients presenting with acute pancreatitis. Study Design: Cross sectional validation study. Place and Duration of Study: Department of Surgery, Combined Military Hospital Malir, from Mar 2019 to Nov 2019. Methodology: A total of 125 patients with the diagnosis of acute biliary pancreatitis were enrolled in the study. Bedside Index of Severity in Acute Pancreatitis score values were worked out for all patients within 24 hours of presentation. The mortality rate and frequency of severe acute pancreatitis was determined. Sensitivity, specificity, negative predictive value, positive predictive value, and diagnostic accuracy of Bedside Index of Severity in Acute Pancreatitis Score was calculated. Results: The mortality rate was 14 (11.2%) and the frequency of severe acute pancreatitis was 41 (32.8%). Bedside Index of Severity in Acute Pancreatitis Score of ≥3 had a sensitivity of 92.86%, specificity of 83.93%, and diagnostic accuracy of 85.6% in predicting mortality in acute pancreatitis. Similarly Bedside Index of Severity in Acute Pancreatitis Score of ≥3 had a sensitivity of 63.41%, specificity of 94.05%, and diagnostic accuracy of 84% in predicting severe acute pancreatitis in patients of acute pancreatitis. Conclusion: Bedside Index of Severity in Acute Pancreatitis Score of ≥3 has a high diagnostic accuracy in predicting severity and is a valuable tool for early assessment of patients with acute pancreatitis.
format	article
author	Sarah Fatima Waqas Ahmed Khalid Ibrahim Akhtar Muhammad Khalid Siddique Rabia Mushtaq Syed Muhammad Hashim Raza
author_facet	Sarah Fatima Waqas Ahmed Khalid Ibrahim Akhtar Muhammad Khalid Siddique Rabia Mushtaq Syed Muhammad Hashim Raza
author_sort	Sarah Fatima
title	DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_short	DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_full	DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_fullStr	DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_full_unstemmed	DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS
title_sort	diagnostic accuracy of bedside index of severity in acute pancreatitis (bisap) score in predicting outcomes in patients presenting with acute pancreatitis
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/a57550c1982447b997699498689e41b8
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DIAGNOSTIC ACCURACY OF BEDSIDE INDEX OF SEVERITY IN ACUTE PANCREATITIS (BISAP) SCORE IN PREDICTING OUTCOMES IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS

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