COMPARISON BETWEEN BISAP SCORE AND BALTHAZAR SCORE IN PROGNOSIS OF ACUTE SEVERE PANCREATITIS

Abstract

Background Among the surgical causes of acute abdomen of non- traumatic origin pancreatitis is considered second most severe pain related problem preceded by abdominal colic. In view of this it was decided to carry out to study to compare the Balthazar scoring system with the BISAP scoring system so that this study could help in supplementing the existing data and compare the superiority of scoring system over other. The objective of the study was to compare the BISAP (Bedside index of severity in acute pancreatitis) and Balthazar scoring system in evaluating the prognosis in cases of acute severe pancreatitis. MethodsIt is a prospective study carried out between October 2018 to October 2020 documenting the events of 28 patients admitted with acute pancreatitis at a tertiary care centre. BISAP score and BALTHAZAR scores were calculated as per criteria highlighted in the literature. At the end of study period the scores were compared based on patient morbidity, mortality and treatment outcomes across various variables. Results There was a signicant association between BISAPScore and outcome with a p value 0.0211 at BISAP Score mortality was 14.3%. BISAP had a sensitivity of 92.00% and specicity of 50.00%. Balthazar at grade 4 had a sensitivity of 93.70% and specicity of 50.00%. A CTSI score of 7 had sensitivity of 95.65% and specicity of 50.00%. 82% of the subject were diagnosed as alcoholic pancreatitis and 17.9% had gall stone pancreatitis. Mortality rate in the present study was 3.57%. ConclusionWe conclude that both the BISAPand Balthazar score are good to assess the prognosis of patients. Both have an almost equal accuracy and specicity, but sensitivity of Balthazar 93.70% is better than BISAPof 92.00%.