ROLE OF THE BISAP SCORE TO PREDICT THE SEVERITY AND PROGNOSIS OF ACUTE PANCREATITIS

Objectives: To grade the severity of acute pancreatitis and determine its prognosis by the BISAP score. Methods: The BISAP score was evaluated among 50 cases of acute pancreatitis admitted to Shree Krishna Hospital, Karamsad between March 2014 and September 2015. Data analysis was done using SPSS program version17.0. Demographic data, etiology, distribution of cases according to BISAP score, morbidity and mortality were used to determine frequencies distribution and proportion. Results: Among 50 cases, there were 3 (6%) deaths. There was a significant trend for increasing mortality with increasing BISAP score. A BISAP score of more than 3 was associated with an increased risk of developing organ failure, pancreatic necrosis and other complications. Conclusion: The BISAP score represents a simple way to identify patients at risk of increased mortality and the development of complications within 24 hours of presentation. This risk stratification capability can be utilized to improve clinical care and administer appropriate treatment from as early as the time of presentation to the hospital.