Arif Anum, Jaleel Farhat, Rashid Khalid
Dr. Anum Arif, MBBS, FCPS. Department of Surgery, Aga Khan University of Health Sciences Karachi, Pakistan.
Dr. Farhat Jaleel, MBBS, FCPS. Professor, Head of Surgical Unit 6, Civil Hospital Karachi, Dow University of Health Sciences, Karachi, Pakistan.
Pak J Med Sci. 2019 Jul-Aug;35(4):1008-1012. doi: 10.12669/pjms.35.4.1286.
To determine the accuracy of BISAP score in comparison with Ranson's score in detection of severe acute pancreatitis.
This cross sectional study was performed in Emergency department and Surgery department of Dow university hospital from January 2015 to December 2015. A total of 206 patients were included. Those diagnosed with acute pancreatitis on the basis of epigastric pain, serum amylase levels more than 300 (more than 3 times normal) and meeting the inclusion criteria were subjected to investigations for Ranson's and BISAP scoring. BISAP score was calculated at 24 hours and Ranson's score both at 24 and 48 hours. A score of > 3 was used to label severe acute pancreatitis according to both scoring systems.
In our study accuracy to predict SAP by BISAP score was 76.2 % and Ranson's score was 82.2%. On the basis of sensitivity, Ranson's scores predicted SAP more accurately than BISAP scores (97.4% vs. 69.2%). Regarding specificity, both scores predicted SAP almost equally (78.4% vs. 77.8%).
BISAP score is a valuable tool in predicting severe Acute Pancreatitis in early hours.
比较BISAP评分与兰森评分在检测重症急性胰腺炎方面的准确性。
本横断面研究于2015年1月至2015年12月在道氏大学医院急诊科和外科进行。共纳入206例患者。那些根据上腹部疼痛、血清淀粉酶水平超过300（超过正常水平3倍）且符合纳入标准而被诊断为急性胰腺炎的患者接受了兰森评分和BISAP评分调查。BISAP评分在24小时时计算，兰森评分在24小时和48小时时计算。根据两种评分系统，评分>3被用于标记重症急性胰腺炎。
在我们的研究中，BISAP评分预测重症急性胰腺炎的准确性为76.2%，兰森评分为82.2%。基于敏感性，兰森评分预测重症急性胰腺炎比BISAP评分更准确（97.4%对69.2%）。关于特异性，两种评分预测重症急性胰腺炎几乎相同（78.4%对77.8%）。
BISAP评分是早期预测重症急性胰腺炎的一个有价值的工具。
