Abstract
Background: Acute pancreatitis is one of the most common causes of acute abdominal pain in patients presenting to tertiary care hospital. The prevalence of acute pancreatitis in Pakistan is 0.03%. Assessment of prognosis is important in management of patients with acute pancreatitis. A simple and clinical oriented scoring system to predict the severity of acute pancreatitis at the time of presentation is required.
 Objectives: To determine the agreement between BISAP score and CRP in assessing severe acute pancreatitis.
 Methodology: A cross-sectional study was conducted at a tertiary care centre on 15 patients diagnosed as acute pancreatitis who fulfilled the inclusion criteria. Demographic data was noted and their BISAP Score and CRP values were calculated and statistical analysis was done using SPSS 20.0 Software.
 Results: Mean + SD age of the study participants was 46.73 + 8.29 years. Nine (60%) were males and six (40%) patients were females. The agreement of BISAP score and CRP level in assessing the severity of acute pancreatitis was 66.7%.
 Conclusion: There is a substantial agreement in favor of both CRP criteria and BISAP scoring in diagnosing acute severe pancreatitis.
Highlights
Acute pancreatitis is one of the most common causes of acute abdominal pain in patients presenting to tertiary care hospital
There is a substantial agreement in favor of both CRP criteria and BISAP scoring in diagnosing acute severe pancreatitis
This study was aimed to determine the agreement of BISAP score and CRP in assessing the prognosis of acute pancreatitis on admission
Summary
Acute pancreatitis is one of the most common causes of acute abdominal pain in patients presenting to tertiary care hospital. Because of various difficulties in applying these scoring systems due to multiple variables and as they require at least 48hrs of hospitalization [7,8] clinicians have practiced single factor to assess the prognosis like CRP, third space fluid loss and trypsinogen. Another simple method of assessing prognosis is a new scoring system called BISAP [9,10] which include five variables which are easy to apply like BUN>25mg/dl, Impaired mental status, SIRS (systemic inflammatory response syndrome), age>60yrs and pleural effusion on radiology. Objectives: To determine the agreement between BISAP score and CRP in assessing severe acute pancreatitis.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
