A comparative study between BISAP and Ranson’s score in predicting severity of acute pancreatitis

Abstract

Introduction and Aim: Acute pancreatitis has variable clinical and systemic indications checking the range from a mild illness to serious, hazardous, multiorgan dysfunction. Among different scoring systems used to assess seriousness in acute pancreatitis, BISAP (Bed side index for severity of acute pancreatitis) and Ranson scoring frameworks have been viewed as predictive and impressively utilized. This study targets surveying the predictive role of BISAP scoring in contrast with Ranson’s score for severity of acute pancreatitis.   Materials and Methods: All patients with acute pancreatitis will be assessed and their full medical history, complete clinical examination, biochemical studies, will be gathered. Prediction of severity by BISAP and Ranson as compared to severity using Revised Atlanta classification was done using kappa coefficient, specificity, positive predictive value, negative predictive value and accuracy.   Results: In this study out of 150 patients in the study population, most were in the age group between 25 to 45, with male predominance. 137 (89.3%) mild and 16 (10.7%) severe coarse are found in our study. Sensitivity (100 %), specificity (57.4 % vs 56.7), positive predictive value (21.9 vs 21.62%) and negative predictive value (100%) were found when BISAP was compared to Ranson’s in our study.   Conclusion: In this study, we can come to a conclusion that BISAP is similarly effective in predicting the severity of acute pancreatitis as Ranson's scoring system. BISAP is simple to use, modest, easy to calculate and it does not need 48 hours for completion when compared to Ranson’s. Consequently, BISAP can be performed on bedside of patients with acute pancreatitis in any setup.