BISAP Scoring System in Predicting Severity and Outcome in Acute Pancreatitis: A Prospective Study
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Abstract
Acute pancreatitis is a leading emergency admission worldwide and is associated with substantial morbidity and mortality. Early risk stratification is critical to guiding therapeutic interventions. This study evaluated the Bedside Index for Severity in Acute Pancreatitis (BISAP) score, a simple clinical tool, in predicting severity, organ failure, and in-hospital mortality among patients within 24 hours of presentation. Eighty consecutive patients admitted to a tertiary care center were prospectively assessed, and BISAP was calculated for each. Outcomes measured included severity (organ failure, necrotizing pancreatitis), duration of hospitalization, and mortality. BISAP ≥ 3 predicted severe disease, with higher scores strongly associated with necrotizing pancreatitis and death. BISAP enables early risk stratification, potentially improving patient outcomes through appropriate triage and management.
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Copyright (c) 2025 Elilnambi, Nithila, Sabu Jeyasekaran, Bala, Mohanapriya Thyagarajan
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
Elilnambi, Assistant Professor, Department of of Pediatric Cardiothoracic Surgery, Institute of Child Health, Madras Medical College, Chennai, Tamil Nadu, India.
Assistant Professor, Department of of Pediatric Cardiothoracic Surgery, Institute of Child Health, Madras Medical College, Chennai, Tamil Nadu, India.
Nithila, Assistant Professor, Dr. Jeyasekharan Medical Trust Hospital, Nagercoil, Tamil Nadu, India.
Assistant Professor, Dr. Jeyasekharan Medical Trust Hospital, Nagercoil, Tamil Nadu, India.
Sabu Jeyasekaran, Professor, Dr. Jeyasekharan Medical Trust Hospital, Nagercoil, Tamil Nadu, India.
Professor, Dr. Jeyasekharan Medical Trust Hospital, Nagercoil, Tamil Nadu, India.
Bala, Professor, Dr. Jeyasekharan Medical Trust Hospital, Nagercoil, Tamil Nadu, India.
Professor, Dr. Jeyasekharan Medical Trust Hospital, Nagercoil, Tamil Nadu, India.
Mohanapriya Thyagarajan, Associate Professor, Department of General Surgery, Sriramachandra Medical College & Center, Chennai, Tamil Nadu, India.
Associate Professor, Department of General Surgery, Sriramachandra Medical College & Center, Chennai, Tamil Nadu, India.
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