Journal ArticleDOI
Comparison of the BISAP scores for predicting the severity of acute pancreatitis in Chinese patients according to the latest Atlanta classification
Jia Zhang,Muhammad Shahbaz,Ruliang Fang,Benjia Liang,Chao Gao,Huijie Gao,Muhammad Ijaz,Cheng Peng,Ben Wang,Zhengchuan Niu,Jun Niu +10 more
TLDR
BISAP, the Acute Physiology and Chronic Health Evaluation (APACHE) II and Ranson scoring systems are compared in predicting the severity, pancreatic necrosis and mortality of acute pancreatitis using the latest 2012 Atlanta classification in a tertiary care center in China.Abstract:
Background
The bedside index of severity in acute pancreatitis (BISAP) is a new, convenient, prognostic multifactor scoring system. As there were no studies designed to validate this system according to the latest Atlanta classification in China and more data are needed before clinical application, we compared BISAP, the Acute Physiology and Chronic Health Evaluation (APACHE) II and Ranson scoring systems in predicting the severity, pancreatic necrosis and mortality of acute pancreatitis (AP) using the latest 2012 Atlanta classification in a tertiary care center in China.
Methods
The medical records of all patients with AP admitted to our hospitals between January 2010 and June 2013 were reviewed retrospectively. Severe AP was defined as the persistence of organ failure for more than 48 h. The capacity of the BISAP, APACHE II and Ranson's score system to predict severity, pancreatic necrosis and mortality was evaluated using linear-by-linear association. The predictive accuracy of the BISAP, APACHE II and Ranson's score was measured as the area under the receiver operating characteristic curve (AUC).
Results
Of 155 patients enrolled in the study, 16.7% were classified as having severe AP, and six (3.2%) died. There were statistically significant trends for increasing severity (P < 0.001), PNec (P < 0.001) and mortality (P < 0.001) with increasing BISAP. The AUC for severity predicted by BISAP was 0.793 (95% confidence interval [CI] 0.700–0.886), APACHE II 0.836 (95% CI 0.744–0.928) and by Ranson score was 0.903 (95% CI 0.814–0.992). The AUC for PNec predicted by BISAP was 0.834 (95% CI 0.739–0.929), APACHE II 0.801 (95% CI 0.691–0.910) and by Ranson score was 0.840 (95% CI 0.741–0.939). The AUC for mortality predicted by BISAP was 0.791 (95% CI 0.593–0.989), APACHE II 0.812 (95% CI 0.717–0.906) and by Ranson score was 0.904 (95% CI 0.829–0.979).
Conclusions
BISAP score may be a valuable source for risk stratification and prognostic prediction in Chinese patients with AP. A prospective and multicenter validation study is required to confirm our results and further our recognition of BISAP scores in AP.read more
Citations
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Journal Article
The early prediction of mortality in acute pancreatitis : a large population-based study. Commentary
Peter Layer,Bechien U. Wu,Richard S. Johannes,Xiaowu Sun,Ying P. Tabak,Darwin L. Conwell,Peter A. Banks +6 more
TL;DR: In this article, a clinical scoring system was developed for prediction of in-hospital mortality in acute pancreatitis using Classification and Regression Tree (CART) analysis, which was derived on data collected from 17 992 cases of AP from 212 hospitals in 2000-2001.
Journal ArticleDOI
The Value of BISAP Score for Predicting Mortality and Severity in Acute Pancreatitis: A Systematic Review and Meta-Analysis
Wei Gao,Hongxia Yang,Cheng'en Ma +2 more
TL;DR: The BISAP score was a reliable tool to identify AP patients at high risk for unfavorable outcomes compared with the Ranson criteria and APACHEⅡscore, but having a suboptimal sensitivity for mortality as well as SAP.
Journal ArticleDOI
Acute Pancreatitis-Progress and Challenges: A Report on an International Symposium.
Elham Afghani,Stephen J. Pandol,Tooru Shimosegawa,Robert Sutton,Bechien U. Wu,Santhi Swaroop Vege,Fred S. Gorelick,Morihisa Hirota,John A. Windsor,Simon K. Lo,Martin L. Freeman,Markus M. Lerch,Yoshihisa Tsuji,Gil Y. Melmed,Wahid Wassef,Julia Mayerle +15 more
TL;DR: This article represents a compilation and adaptation of brief summaries prepared by speakers at the symposium to broadly disseminating information and initiatives about current issues in management of acute pancreatitis.
Journal ArticleDOI
Evaluation of the BISAP scoring system in prognostication of acute pancreatitis - A prospective observational study.
Sumitra Hagjer,Nitesh Kumar +1 more
TL;DR: The BISAP predicts severity, organ failure and death, in acute pancreatitis very well, and is as good as APACHE-II but better than Ranson criteria, CTSI, CRP, hematocrit, and BMI.
Journal ArticleDOI
BISAP, RANSON, lactate and others biomarkers in prediction of severe acute pancreatitis in a European cohort.
Francisco Valverde-López,Ana M Matas-Cobos,Carlos Alegría-Motte,Rita Jiménez-Rosales,Margarita Úbeda-Muñoz,Eduardo Redondo-Cerezo +5 more
TL;DR: The study aims to assess and compare the predicting ability of some scores and biomarkers in acute pancreatitis and to investigate the role of immune checkpoints in the development of pancreatitis.
References
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Journal ArticleDOI
APACHE II: a severity of disease classification system.
TL;DR: The form and validation results of APACHE II, a severity of disease classification system that uses a point score based upon initial values of 12 routine physiologic measurements, age, and previous health status, are presented.
Journal ArticleDOI
APACHE II-A Severity of Disease Classification System: Reply
TL;DR: The form and validation results of APACHE II, a severity of disease classification system, are presented, showing an increasing score was closely correlated with the subsequent risk of hospital death for 5815 intensive care admissions from 13 hospitals.
Journal ArticleDOI
Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus
Peter A. Banks,Thomas L. Bollen,Christos Dervenis,Hein G. Gooszen,Colin D. Johnson,Michael G. Sarr,Gregory G. Tsiotos,Santhi Swaroop Vege +7 more
TL;DR: This international, web-based consensus provides clear definitions to classify acute pancreatitis using easily identified clinical and radiologic criteria and should encourage widespread adoption.
Journal ArticleDOI
A Clinically Based Classification System for Acute Pancreatitis: Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 Through 13, 1992
TL;DR: In the absence of accepted definitions for acute pancreatitis and its complications, it has not been possible to devise a clinical classification system useful for case management as discussed by the authors, which is why a group of 40 international authorities from six medical disciplines and 15 countries participated in a three-day meeting and open discussion.
Journal ArticleDOI
Practice guidelines in acute pancreatitis.
Peter A. Banks,Martin L. Freeman,Ronnie Fass,Darren Baroni,Ece Mutlu,David E. Bernstein,Henry P. Parkman,Adil E. Bharucha,Charlene M. Prather,William R. Brugge,Daniel S. Pratt,Lin Chang,Albert Roach,William Y. Chey,Richard E. Sampliner,Matthew E. Cohen,Subbaramiah Sridhar,John T. Cunningham,Nimish Vakil,Steven A. Edmundowicz,Miguel A. Valdovinos,John M. Inadomi,Benjamin C.Y. Wong,Timothy R. Koch,Alvin M. Zfass +24 more
TL;DR: These guidelines are developed under the auspices of the American College of Gastroenterology and its practice parameters committee and may be updated with pertinent scientific developments at a later time.