ETIOLOGY, CLINICAL PROFILE, ASSESSMENT AND COMPARISON OF SCORING SYSTEMS IN PATIENTS DIAGNOSED WITH ACUTE PANCREATITIS IN A TERTIARY CARE CENTRE

Abstract

Background:Acute pancreatitis is a sudden inammation of the pancreas with an incidence 13–45 /1,00,000. A Bedside Index for Severity in Acute Pancreatitis (BISAP) has recently been proposed as an accurate and simple method for early identication of persistent organ failure and mortality. CT, as used to aid the diagnosis and staging of acute pancreatitis, has greatly improved and has changed the clinical management of this condition. 50 patients who came Methods: with acute abdomen and diagnosed with acute pancreatitis were selected satisfying inclusion and exclusion criteria. BISAP score and CT severity index was calculated and compared. Results: Out of 50 patients mild, moderate and severe acute pancreatitis was identied in 35, 9 and 6 patients respectively based on CT severity score index(CTSI). Out of 50 cases,47 had BISAP score < 3 and 3 had >3.BISAP score as a predictor of prognosis has a signicant relation as evident by the data in our study (p value<0.05).BISAP score and CTSI are used for severity assessment of acute pancreatitis, both these scoring systems showed positive correlation in assessing the severity. Early evaluation of the Conclusion: severity of acute pancreatitis is essential to allow the clinician to predict the patient's clinical course, estimate prognosis, and determine the need for admission to the intensive care unit. BISAP score is relatively simple & accurate in predicting the clinical severity of Acute Pancreatitis with a prognostic accuracy of BISAP similar to CTSI.