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A prospective comparative study of bedside index for assessing severity in acute pancreatitis, APACHE II and computed tomography severity index scoring in predicting outcome in acute pancreatitis

  • Original Article
  • Published:
Hellenic Journal of Surgery

Abstract

Aims/Objectives

This study aims at comparing the value of BISAP, APACHE II, and CTSI scoring in predicting the outcome of acute pancreatitis and categorization of patients based on these scoring systems.

Materials/Methods

In this prospective study, 60 consecutive patients of acute pancreatitis attending emergency were included. After thorough clinical examination, all patients underwent haematological, biochemical and radiological investigations and were treated according to standard treatment protocols depending upon severity of disease based on BISAP, APACHE II and CTSI, and these three scoring systems were compared in predicting the outcome of the disease. Statistical analysis of the data was performed using the chi square test in the case of discrete variables and the student t-test for continuous variables. A p-value less than 0.05 was considered statistically significant.

Results

The CTSI scoring system predicted the outcome in acute pancreatitis with the best diagnostic accuracy (90%) amongst the three scoring systems.

Conclusion

CTSI is a better predictor for complications, mortality and ultimately the outcome of acute pancreatitis as compared to BISAP and APACHE II scoring system.

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Authors and Affiliations

  1. Postgraduate Institute of Medical Education and Research, Dr Ram Manohar Lohia hospital, New Delhi, India

    Arun Kumar Gupta, Samrat Raj, Poras Chaudhary & Chikkala K. Durga

Authors
  1. Arun Kumar Gupta
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  2. Samrat Raj
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  3. Poras Chaudhary
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  4. Chikkala K. Durga
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Correspondence to Poras Chaudhary.

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Gupta, A.K., Raj, S., Chaudhary, P. et al. A prospective comparative study of bedside index for assessing severity in acute pancreatitis, APACHE II and computed tomography severity index scoring in predicting outcome in acute pancreatitis. Hellenic J Surg 87, 473–478 (2015). https://doi.org/10.1007/s13126-015-0260-z

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  • DOI: https://doi.org/10.1007/s13126-015-0260-z

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