Bozorgi Farzad, Hashemi Seyyed Abbas, Jahanian Fateme, Baktash Kosar
Department of Emergency Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Department Of Gastroenterology and Hepatology, Mazandaran University of Medical Sciences, Sari, Iran.
Caspian J Intern Med. 2025 Mar 21;16(2):297-304. doi: 10.22088/cjim.16.2.297. eCollection 2025 Spring.
Patient management and necessary supportive treatments, an accurate prognosis of the illness is essential for patients with acute pancreatitis. Thus far, no diagnostic technique has demonstrated superiority over the other in terms of clinical judgment. The aim of this study was to examine the predictive accuracy of the Bedside Index for Severity in Acute Pancreatitis (BISAP) score in contrast to Ranson's criteria.
Our research is a retrospective cross-sectional analysis. Inclusion criteria encompassed patients admitted to the emergency department with acute pancreatitis. Exclusion criteria comprised individuals with liver, heart, or renal failure upon admission or during hospitalization. Each patient's demographic data, including age, gender, education level, and consciousness level, were considered. Statistical analysis was conducted using SPSS 16 software with a significance level set at p <0.05.
Out of 286 patients, 221 were diagnosed with moderate acute pancreatitis, while 65 were diagnosed with severe acute pancreatitis. Among these patients, 5 (7.1%) succumbed to complications related to pancreatitis, including 3 males and 2 females. Both the BISAP and Ranson criteria demonstrated significant capability in assessing the severity of both moderate and severe acute pancreatitis with a 95% confidence level. The analysis revealed a statistically significant area under the curve for both criteria (P= 0.002).
Although BISAP and Ranson have both good accuracy and efficacy to determine the severity of pancreatitis, BISAP scoring criteria have higher prognostic accuracy.
对于急性胰腺炎患者，疾病管理及必要的支持性治疗至关重要，准确的病情预后判断必不可少。迄今为止，在临床判断方面，尚无诊断技术显示出优于其他技术的优势。本研究旨在对比急性胰腺炎严重程度床边指数（BISAP）评分与兰森标准的预测准确性。
我们的研究是一项回顾性横断面分析。纳入标准包括因急性胰腺炎入住急诊科的患者。排除标准包括入院时或住院期间患有肝、心或肾衰竭的个体。考虑了每位患者的人口统计学数据，包括年龄、性别、教育水平和意识水平。使用SPSS 16软件进行统计分析，显著性水平设定为p<0.05。
在286例患者中，221例被诊断为中度急性胰腺炎，65例被诊断为重度急性胰腺炎。在这些患者中，5例（7.1%）死于胰腺炎相关并发症，其中男性3例，女性2例。BISAP和兰森标准在评估中度和重度急性胰腺炎的严重程度方面均显示出显著能力，置信水平为95%。分析显示，两种标准的曲线下面积均具有统计学意义（P = 0.002）。
虽然BISAP和兰森标准在确定胰腺炎严重程度方面均具有良好的准确性和有效性，但BISAP评分标准具有更高的预后准确性。
