KUMJ | VOL. 21 | NO. 2 | ISSUE 82 | APRIL - JUNE, 2023
The Comparative Accuracy of BISAP and PANC3 Scoring System for the Disease Severity and Outcome in Acute Pancreatitis in Tertiary Care Hospital from North India
Gupta S, Dhillon HS, Gupta N
Abstract: Background
Acute pancreatitis has local and systemic manifestations, so it’s important to assess
the severity by various scoring system. Among them bed side index for severity of
acute pancreatitis and pancreatitis three score have been considered to be more
predictive and easier.
Objective
To determine the comparative prognostic value of bed side index for severity of acute
pancreatitis and pancreatitis 3 score and its correlation with the outcome.
Method
A prospective observational study was conducted on 50 cases of acute pancreatitis.
The patients were assessed clinically, radiologically and biochemically and were
categorised into mild, moderate and severe category as per Atlanta Classification. Bed
side index for severity of acute pancreatitis and pancreatitis 3 score was calculated at
the time of admission and followed till the time of discharge or they had mortality.
Result
Receiver operating characteristic curve, showed bed side Index for severity of acute
pancreatitis score had sensitivity (66.67%), specificity (84.09%), diagnostic accuracy
(84%) while pancreatitis 3 score had sensitivity (50%), specificity (81.82%), diagnostic
accuracy (80%) for the severity of acute pancreatitis. Bed side index for severity of
acute pancreatitis had sensitivity (100%), specificity (66.67%) and Pancreatitis 3
score had sensitivity (66.67%), specificity (80.85%) for predicting the mortality in
acute pancreatitis.
Conclusion
Bed side index for severity of acute pancreatitis and pancreatitis 3 score are both
simple, bedside tool for assessing the severity and mortality but bed side index for
severity of acute pancreatitis score had better sensitivity, specificity for assessing the
severity and mortality as compared to pancreatitis three score.
Keyword : Acute pancreatitis, Bed side index for severity of acute pancreatitis, Pancreatitis 3 scoring system
