Índice clínico de gravedad en pancreatitis aguda: BISAP ("Bedside Index for Severity in Acute Pancreatitis"): Dos años de experiencia en el Hospital Clínico Universidad de Chile

Background: Identification of patients at risk for severe disease early in the course of acute pancreatitis (AP) is essential to optimize management and to improve outcomes. Aim: To assess BISAP score as a predictor of severity of AP. Patients and Methods: Retrospective review of AP patients between...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Gompertz,Macarena, Fernández,Lara, Lara,Ivone, Miranda,Juan Pablo, Mancilla,Carla, Berger,Zoltán
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Multiple organ failure Pancreatitis Severity of illness index
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000800002
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872012000800002
record_format	dspace
spelling	oai:scielo:S0034-988720120008000022012-12-18Índice clínico de gravedad en pancreatitis aguda: BISAP ("Bedside Index for Severity in Acute Pancreatitis"): Dos años de experiencia en el Hospital Clínico Universidad de ChileGompertz,MacarenaFernández,LaraLara,IvoneMiranda,Juan PabloMancilla,CarlaBerger,Zoltán Multiple organ failure Pancreatitis Severity of illness index Background: Identification of patients at risk for severe disease early in the course of acute pancreatitis (AP) is essential to optimize management and to improve outcomes. Aim: To assess BISAP score as a predictor of severity of AP. Patients and Methods: Retrospective review of AP patients between January 2009 and December 2010. BISAP, APACHE II and Balthazar scores were calculated. Length of stay, local complications, organ failure and mortality were registered. Accuracy of the scoring system for predicting severity was measured by the area under the receiver operating curve (AUC). Results: The medical records of 128 patients, median age 46.5 years (55.5% men), were reviewed. Mean hospital stay was 15 days, 18 patients (14%) had local complications, 7 patients (5.4%) developed organ failure and 2 patients died (1.6%). The AUC for BISAP score to detect organ failure was 0.977 (95% IC 0.947-1.000). A BISAP score > 3 had a sensitivity, specificity, positive and negative predictive value of 71.4, 99.1, 83.3 and 98.3% respectively. An APACHE II score > 8 had a sensitivity and specificity of 71.5 and 86.8% respectively. The figures for a Balthazar score > 6 were 42.8 and 98.3% respectively. There was a significant correlation between BISAP score and length of hospital stay. Conclusions: BISAP score was a useful method for predicting the severity of PA, with the advantage of being simple and based on parameters obtained on the first day of hospitalization. Its sensitivity and specificity were superior to APACHE II and Balthazar score in this cohort.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.8 20122012-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000800002es10.4067/S0034-98872012000800002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Multiple organ failure Pancreatitis Severity of illness index
spellingShingle	Multiple organ failure Pancreatitis Severity of illness index Gompertz,Macarena Fernández,Lara Lara,Ivone Miranda,Juan Pablo Mancilla,Carla Berger,Zoltán Índice clínico de gravedad en pancreatitis aguda: BISAP ("Bedside Index for Severity in Acute Pancreatitis"): Dos años de experiencia en el Hospital Clínico Universidad de Chile
description	Background: Identification of patients at risk for severe disease early in the course of acute pancreatitis (AP) is essential to optimize management and to improve outcomes. Aim: To assess BISAP score as a predictor of severity of AP. Patients and Methods: Retrospective review of AP patients between January 2009 and December 2010. BISAP, APACHE II and Balthazar scores were calculated. Length of stay, local complications, organ failure and mortality were registered. Accuracy of the scoring system for predicting severity was measured by the area under the receiver operating curve (AUC). Results: The medical records of 128 patients, median age 46.5 years (55.5% men), were reviewed. Mean hospital stay was 15 days, 18 patients (14%) had local complications, 7 patients (5.4%) developed organ failure and 2 patients died (1.6%). The AUC for BISAP score to detect organ failure was 0.977 (95% IC 0.947-1.000). A BISAP score > 3 had a sensitivity, specificity, positive and negative predictive value of 71.4, 99.1, 83.3 and 98.3% respectively. An APACHE II score > 8 had a sensitivity and specificity of 71.5 and 86.8% respectively. The figures for a Balthazar score > 6 were 42.8 and 98.3% respectively. There was a significant correlation between BISAP score and length of hospital stay. Conclusions: BISAP score was a useful method for predicting the severity of PA, with the advantage of being simple and based on parameters obtained on the first day of hospitalization. Its sensitivity and specificity were superior to APACHE II and Balthazar score in this cohort.
author	Gompertz,Macarena Fernández,Lara Lara,Ivone Miranda,Juan Pablo Mancilla,Carla Berger,Zoltán
author_facet	Gompertz,Macarena Fernández,Lara Lara,Ivone Miranda,Juan Pablo Mancilla,Carla Berger,Zoltán
author_sort	Gompertz,Macarena
title	Índice clínico de gravedad en pancreatitis aguda: BISAP ("Bedside Index for Severity in Acute Pancreatitis"): Dos años de experiencia en el Hospital Clínico Universidad de Chile
title_short	Índice clínico de gravedad en pancreatitis aguda: BISAP ("Bedside Index for Severity in Acute Pancreatitis"): Dos años de experiencia en el Hospital Clínico Universidad de Chile
title_full	Índice clínico de gravedad en pancreatitis aguda: BISAP ("Bedside Index for Severity in Acute Pancreatitis"): Dos años de experiencia en el Hospital Clínico Universidad de Chile
title_fullStr	Índice clínico de gravedad en pancreatitis aguda: BISAP ("Bedside Index for Severity in Acute Pancreatitis"): Dos años de experiencia en el Hospital Clínico Universidad de Chile
title_full_unstemmed	Índice clínico de gravedad en pancreatitis aguda: BISAP ("Bedside Index for Severity in Acute Pancreatitis"): Dos años de experiencia en el Hospital Clínico Universidad de Chile
title_sort	índice clínico de gravedad en pancreatitis aguda: bisap ("bedside index for severity in acute pancreatitis"): dos años de experiencia en el hospital clínico universidad de chile
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000800002
work_keys_str_mv	AT gompertzmacarena indiceclinicodegravedadenpancreatitisagudabisapbedsideindexforseverityinacutepancreatitisdosanosdeexperienciaenelhospitalclinicouniversidaddechile AT fernandezlara indiceclinicodegravedadenpancreatitisagudabisapbedsideindexforseverityinacutepancreatitisdosanosdeexperienciaenelhospitalclinicouniversidaddechile AT laraivone indiceclinicodegravedadenpancreatitisagudabisapbedsideindexforseverityinacutepancreatitisdosanosdeexperienciaenelhospitalclinicouniversidaddechile AT mirandajuanpablo indiceclinicodegravedadenpancreatitisagudabisapbedsideindexforseverityinacutepancreatitisdosanosdeexperienciaenelhospitalclinicouniversidaddechile AT mancillacarla indiceclinicodegravedadenpancreatitisagudabisapbedsideindexforseverityinacutepancreatitisdosanosdeexperienciaenelhospitalclinicouniversidaddechile AT bergerzoltan indiceclinicodegravedadenpancreatitisagudabisapbedsideindexforseverityinacutepancreatitisdosanosdeexperienciaenelhospitalclinicouniversidaddechile
_version_	1718436641167638528

Índice clínico de gravedad en pancreatitis aguda: BISAP ("Bedside Index for Severity in Acute Pancreatitis"): Dos años de experiencia en el Hospital Clínico Universidad de Chile

Ejemplares similares