Agreement of BISAP and CRP in Assessment of Severe Acute Pancreatitis

Abstract

Background: Acute pancreatitis is one of the most common causes of acute abdominal pain in patients presenting to tertiary care hospital. The prevalence of acute pancreatitis in Pakistan is 0.03%. Assessment of prognosis is important in management of patients with acute pancreatitis. A simple and clinical oriented scoring system to predict the severity of acute pancreatitis at the time of presentation is required. Objectives: To determine the agreement between BISAP score and CRP in assessing severe acute pancreatitis. Methodology: A cross-sectional study was conducted at a tertiary care centre on 15 patients diagnosed as acute pancreatitis who fulfilled the inclusion criteria. Demographic data was noted and their BISAP Score and CRP values were calculated and statistical analysis was done using SPSS 20.0 Software. Results: Mean + SD age of the study participants was 46.73 + 8.29 years. Nine (60%) were males and six (40%) patients were females. The agreement of BISAP score and CRP level in assessing the severity of acute pancreatitis was 66.7%. Conclusion: There is a substantial agreement in favor of both CRP criteria and BISAP scoring in diagnosing acute severe pancreatitis.