A Prospective Comparative Study of Bedside Index Severity Score and Harmless Acute Pancreatic Score for Prognosticating the Severity of Acute Pancreatitis

Abstract

Background This study conducted a comprehensive examination of the effectiveness and practicality of two scoring systems namely the Harmless Acute Pancreatic Score HAPS and the Bedside Index for Severity in Acute Pancreatitis BISAP score in accurately forecasting prognosis in acute pancreatitis cases with the key objective of assessing the merits and drawbacks of various scoring systems in providing valuable prognostic information to healthcare professionals.Method This study was conducted to evaluate the prognostic potential of the HAP and BISAP scores in patients with acute pancreatitis. A total of 50 patients who met the inclusion and exclusion criteria were invited to participate in the study. Comprehensive clinical data including general characteristics medical history and laboratoryimaging-related parameters were collected. The study adhered to a prospective observational single-center cohort design. The study took place from March 2023 to December 2023 and informed consent was obtained from all the participants. Results In our investigation alcohol induced pancreatitis was observed in 56 of patients. The ROC curve of HAP and BISAP score had values of 0.8969 and 0.8925 respectively. The sensitivity and specificity of HAP score were 67 and 92.9 95 CI respectively. For the BISAP score the specificity and sensitivity were 100 and 88. Both the HAPS and BISAP scores can be used to evaluate acute pancreatitis prediction. No significant distinction in predictive outcome for pancreatitis was found between the HAPS and BISAP scores.Conclusion Scoring systems like HAPS and BISAP can be utilized to predict prognosis of acute pancreatitis aiding in triage and management of patients with BISAP specifically showing higher sensitivity and specificity.