The early prediction of mortality in acute pancreatitis: a large population-based study
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TLDR
The BISAP is a simple and accurate method for the early identification of patients at increased risk for in-hospital mortality in acute pancreatitis.Abstract:
Background: Identification of patients at risk for mortality early in the course of acute pancreatitis (AP) is an important step in improving outcome. Methods: Using Classification and Regression Tree (CART) analysis, a clinical scoring system was developed for prediction of in-hospital mortality in AP. The scoring system was derived on data collected from 17 992 cases of AP from 212 hospitals in 2000–2001. The new scoring system was validated on data collected from 18 256 AP cases from 177 hospitals in 2004–2005. The accuracy of the scoring system for prediction of mortality was measured by the area under the receiver operating characteristic curve (AUC). The performance of the new scoring system was further validated by comparing its predictive accuracy with that of Acute Physiology and Chronic Health Examination (APACHE) II. Results: CART analysis identified five variables for prediction of in-hospital mortality. One point is assigned for the presence of each of the following during the first 24 h: blood urea nitrogen (BUN) >25 mg/dl; impaired mental status; systemic inflammatory response syndrome (SIRS); age >60 years; or the presence of a pleural effusion (BISAP). Mortality ranged from >20% in the highest risk group to Conclusions: A new mortality-based prognostic scoring system for use in AP has been derived and validated. The BISAP is a simple and accurate method for the early identification of patients at increased risk for in-hospital mortality.read more
Citations
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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
American College of Gastroenterology guideline: management of acute pancreatitis.
TL;DR: As the diagnosis of AP is most often established by clinical symptoms and laboratory testing, contrast-enhanced computed tomography and/or magnetic resonance imaging of the pancreas should be reserved for patients in whom the diagnosis is unclear or who fail to improve clinically.
Journal ArticleDOI
Comparison of BISAP, Ranson's, APACHE-II, and CTSI scores in predicting organ failure, complications, and mortality in acute pancreatitis
Georgios I. Papachristou,Venkata Muddana,Dhiraj Yadav,Michael O’Connell,Michael K. Sanders,Adam Slivka,David C. Whitcomb +6 more
TL;DR: It is confirmed that the BISAP score is an accurate means for risk stratification in patients with AP and simple scoring systems may have reached their maximal utility and novel models are needed to further improve predictive accuracy.
Journal ArticleDOI
2019 WSES guidelines for the management of severe acute pancreatitis
Ari Leppäniemi,Matti Tolonen,Antonio Tarasconi,Helmut Segovia-Lohse,Emiliano Gamberini,Andrew W. Kirkpatrick,Chad G. Ball,Neil Parry,Massimo Sartelli,Daan Wolbrink,Harry van Goor,Gian Luca Baiocchi,Luca Ansaloni,Walter L. Biffl,Federico Coccolini,Salomone Di Saverio,Yoram Kluger,Ernest E. Moore,Fausto Catena +18 more
TL;DR: These guidelines present evidence-based international consensus statements on the management of severe acute pancreatitis from collaboration of a panel of experts meeting during the World Congress of Emergency Surgery in June 27–30, 2018 in Bertinoro, Italy.
Journal ArticleDOI
Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015.
Masamichi Yokoe,Tadahiro Takada,Toshihiko Mayumi,Masahiro Yoshida,Shuji Isaji,Keita Wada,Takao Itoi,Naohiro Sata,Toshifumi Gabata,Hisato Igarashi,Keisho Kataoka,Masahiko Hirota,Masumi Kadoya,Nobuya Kitamura,Yasutoshi Kimura,Seiki Kiriyama,Kunihiro Shirai,Takayuki Hattori,Kazunori Takeda,Yoshifumi Takeyama,Morihisa Hirota,Miho Sekimoto,Satoru Shikata,Shinju Arata,Koichi Hirata +24 more
TL;DR: Japanese (JPN) guidelines for the management of acute pancreatitis were published in 2006, and following the 2012 revision of the Atlanta Classifications of Acute Pancreatitis, the development of a minimally invasive method for local complications of pancreatitis spread was developed.
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