European Journal of Cardiovascular Medicine

Results for "BISAP"

Found 2 results

Research Article Open Access

To study comparison of BISAP clinical rating and clinical outcome with CT-based pancreatitis severity evaluation using the updated Atlanta classification

Pages 1391 - 1396

Abstract

Background and Objectives: The purpose of this study is to use contrast-enhanced computed tomography to categorize individuals with acute pancreatitis into interstitial edematous pancreatitis and necrotizing pancreatitis according to the updated Atlanta classification, and to describe the kind of collections in these patients. After that, we'll determine how severe it is using the new Atlanta categorization. And using the BISAP clinical rating system, discuss the disease's clinical progression and severity. Ultimately, we hope to link these observations to improved patient care. Materials and Methods: The study period began June 2022 to May 2023, conducted at the Department of Radiodiagnosis, Dr. Patnam Mahender Reddy Institute of Medical Sciences, Chevella, Hyderabad, India. This prospective observational study took place in a hospital setting. The sample size for this study was 200 patients. Primary data was obtained by the investigator from patients diagnosed with acute pancreatitis and admitted to the surgery or medicine wards at our hospital for CT scans. Results: Patients in our study group tended to be male, and alcoholism was the leading cause of their condition. In addition, interstitial edematous pancreatitis and mild acute pancreatitis accounted for the vast majority of cases. They achieved favorable clinical outcomes with a BISAP score of less than 3. Acute necrotizing pancreatitis and interstitial edema were both classified as moderately severe. Necrotizing pancreatitis was the most common kind of the severe acute form. Clinical outcomes were unsatisfactory for the majority of these individuals. Grades in the moderately severe range lie between the mild and severe varieties. Clinical result was found to correlate positively with BISAP rating, and the updated Atlanta categorization. Conclusion: Acute pancreatitis imaging results can now be more uniformly described and recorded in clinical practice according to the new Atlanta classification system. Acute pancreatitis patients can now be more accurately triaged, predicted, and treated thanks to the integration of the new Atlanta classification and BISAP clinical grading.

Research Article Open Access

Comparison Of BISAP Score Vs Balthazar Score in Predicting the Severity and Prognosis of Acute Pancreatitis

K. Indrasena Reddy,

W. Sudhakar M.S,

Y. Chirimala M.S,

P. Prudhvini M.S

Pages 86 - 92

Abstract

Background: Acute pancreatitis (AP) is a common gastrointestinal emergency, with severity ranging from mild self-limiting disease to severe forms associated with necrosis and multi-organ failure. Accurate early prediction of disease severity is crucial for timely intervention and improved patient outcomes. The Bedside Index for Severity in Acute Pancreatitis (BISAP) score is a simple clinical scoring system that predicts severity within 24 hours of admission, whereas the Balthazar score, based on contrast-enhanced computed tomography (CECT), assesses pancreatic inflammation and necrosis after 48 hours. This study aims to compare the efficacy of BISAP and Balthazar scores in predicting the severity and prognosis of AP. Methods: A prospective comparative study was conducted on 115 patients from April 2023 to April 2024 diagnosed with acute pancreatitis at the Department of General Surgery, SVRRGGH, Tirupati. Patients were assessed using BISAP scores upon admission and Balthazar scores via CECT after 48 hours. Clinical, biochemical, and radiological data were collected. Statistical analysis was performed using SPSS version 16, with a p-value of <0.05 considered significant. Results: The mean age of patients was 39.5 ± 12.7 years, with a male predominance (78.3%). Elevated serum amylase and lipase levels were found in 87.8% and 89.6% of cases, respectively. Based on BISAP scoring, 52 (45.2%) patients had severe AP, while 55 (47.8%) had severe pancreatitis per the Balthazar score. The BISAP score correlated significantly with Balthazar severity grading (p < 0.001). Organ failure was observed in 48.7% of patients, with respiratory failure (33.0%) being the most common. Patients with higher BISAP and Balthazar scores had significantly increased rates of persistent organ failure, multi-organ failure, and mortality. Conclusion: The BISAP score demonstrated a significant correlation with the Balthazar score in predicting AP severity and prognosis. BISAP, being a simple bedside tool available at admission, allows for early risk stratification, whereas the Balthazar score, reliant on imaging, may be more useful in later disease stages. Incorporating BISAP scoring into routine clinical practice can facilitate timely triaging of high-risk patients and optimize resource allocation

European Journal of Cardiovascular Medicine

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