Publication: Bedside Index of Severity in Acute Pancreatitis (BISAP) Score on Outcome of Patients Presenting with Acute Pancreatitis in a Tertiary Care Hospital
Date
2023
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Acute pancreatitis is a life-threatening condition characterized by inflammation of
the pancreas causing intense abdominal pain and potential harm to multiple organs.
The mortality rate is 1-5% and thus requires specialized and interdisciplinary care to
inhibit it.
Objective
To describe the bedside index of severity in acute pancreatitis score on the outcome
of acute pancreatitis patients in a tertiary care hospital.
Method
This is a hospital based observational cross-sectional study conducted in the internal
medicine inpatient department of Dhulikhel Hospital from April 2018 and March
2019. This study reviewed the medical records of the department.
Result
The study included 70 participants with 44 (±14) years of average age and stating
common cause as gallstone (45.7%). The study showed that those with bedside index
of severity in acute pancreatitis score ≥ 3 during hospital admission had significantly
higher rate of organ failure (p-value < 0.05), as well as had a prolonged hospital stay
(mean: 20 [±7.9] days). The mean hospital stay was 12.9 days.
Conclusion
Patients with bedside index of severity in acute pancreatitis score greater than three
at admission were found to have an increased risk of organ failure, significantly higher
chances of requiring mechanical ventilation, and a longer duration of hospital stay.
KEY WORDS
Acute pancreatitis, Bedside index of severity in acute pancreatitis score, Organ
failure, Outcome
Description
Gurung RB*,1 Jaisy D*,2 Sapkota P,1 Bhandari S1
1Department of Internal Medicine
Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
2Department of Internal Medicine
College of Medical Science
Bharatpur, Chitwan, Nepal
Keywords
Acute pancreatitis, Bedside index of severity in acute pancreatitis score, Organ failure, Outcome