Manuscript Writing Service
International Journal of Surgery Science
  • Printed Journal
  • Indexed Journal
  • Refereed Journal
  • Peer Reviewed Journal
International Journal of Surgery Science
Vol. 4, Issue 2, Part D (2020)

A comparative study of severity scoring systems in acute pancreatitis

Author(s): Meghana Taggarsi, Anil Kumar and HR Ravishankar
Abstract: Objective: To investigate the prognostic and clinical usefulness of existing scoring systems in predicting the severity of acute pancreatitis (AP).
Methods: This prospective, observational clinical study included patients with diagnosed AP. Ranson’s, bedside index for severity in acute pancreatitis (BISAP) and PANC 3 scoring systems were used to stratify the severity of disease. Scores from each model were compared to clinical severity. Sensitivity, specificity and accuracy were computed for each model. A p<0.05 was considered statistically significant.
Results: Of 54 patients, 25 patients had non-biliary (group I) and 29 patients had biliary pancreatitis (group II). Based on Ranson’s scoring, 32% and 27.6% in group I and II were classified as severe pancreatitis whereas the calculated BISAP score predicted severe condition in 24% and 20.7% in group I and II (p=0.77). BISAP was the most accurate (78%) in predicting organ failure, followed by Ranson’s (72%) and PANC 3 (65%). Accuracy of BISAP, Ranson’s and PANC 3 scoring systems were 91%, 69% and 79.62%, respectively for predicting disease severity.
Conclusion: It was seen that BISAP was better than Ranson’s in assessing organ failure, mortality and clinical severity in terms of sensitivity, specificity, PPV, NPV and accuracy.
Pages: 237-241  |  714 Views  97 Downloads
How to cite this article:
Meghana Taggarsi, Anil Kumar, HR Ravishankar. A comparative study of severity scoring systems in acute pancreatitis. Int J Surg Sci 2020;4(2):237-241. DOI: https://doi.org/10.33545/surgery.2020.v4.i2d.424
International Journal of Surgery Science