Accuracy and Predictability of PANC3 Scoring System over APACHE II in Acute Pancreatitis: A Prospective Study

Background: Aim of study is to prospectively evaluate the ability of the Bedside Index for Severity in Acute Pancreatitis (BISAP) score to predict mortality as well as intermediate markers of severity.Methods: 50 patients admitted from December 2015 to November 2017 with acute pancreatitis were included in the study. BISAP score is calculated in all such patients based on data obtained within 24hrs of hospitalization. Patients were assessed for organ failure according to Marshall scoring system and followed throughout hospitalization for assessment of complications. Statistical analyses were made using Fischer’s exact probability test. The difference was assumed statistically significant when p<0.05.Results: There was a statistically highly significant trend for increasing mortality (p < 0.05) and intermediate markers of severity (p<0.05) that is transient organ failure, persistent organ failure and pancreatic necrosis with BISAP score ≥3.Conclusions: The BISAP score represents a simple way to identify patients at risk of increased mortality and the development of intermediate markers of severity within 24 hours of presentation.

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Haematological abnormalities in acute pancreatitis. A prospective study.

Postgraduate Medical Journal ◽

10.1136/pgmj.53.620.310 ◽

1977 ◽

Vol 53 (620) ◽

pp. 310-314 ◽

Cited By ~ 18

Author(s):

D. Murphy ◽

C. W. Imrie ◽

J. F. Davidson

Keyword(s):

Acute Pancreatitis ◽

Prospective Study ◽

A Prospective Study

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A PROSPECTIVE STUDY OF POSSUM SCORING SYSTEM IN PATIENTS UNDERGOING EMERGENCY LAPAROTOMY FOR NON-TRAUMATIC PERITONITIS IN A TERTIARY CARE CENTER

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2019/411 ◽

2019 ◽

Vol 6 (30) ◽

pp. 2018-2023

Author(s):

Harish Y. S ◽

Narasimha Reddy J. P. ◽

Harish Challa

Keyword(s):

Prospective Study ◽

Scoring System ◽

Care Center ◽

Tertiary Care ◽

Emergency Laparotomy ◽

Tertiary Care Center ◽

A Prospective Study

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Computed Tomography Evaluation of Acute Pancreatitis and Its Complications – A Prospective Study at a Tertiary Referral Center

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/126 ◽

2021 ◽

Vol 8 (11) ◽

pp. 643-647

Author(s):

Rama Krishna Narra ◽

Manjeera Boddepalli ◽

Narasimhachary Munjuwanpalli ◽

Bhimeswarao Pasupaleti

Keyword(s):

Computed Tomography ◽

Acute Pancreatitis ◽

Prospective Study ◽

Pancreatic Necrosis ◽

Contrast Enhanced ◽

Necrotising Pancreatitis ◽

Enhanced Computed Tomography ◽

A Prospective Study ◽

Contrast Enhanced Computed Tomography ◽

Score Index

BACKGROUND Acute pancreatitis (AP) is described as acute inflammation of the pancreas with or without peripancreatic abnormalities. The present study describes the role of computed tomography in the evaluation and grading of acute pancreatitis. Acute pancreatitis is a dynamic disease having biphasic mortality peaks due to two overlapping phases, which include early and late due to increased obesity, ageing of population, alcohol abuse, increased gall stone incidence, the worldwide AP incidence is increasing. Most important causes of AP in developing countries such as India include increased alcohol consumption. Contrast enhanced computed tomography plays an important role in diagnosis of the disease and helps in determining the prognosis of the disease. Modified CT severity index scoring system is the most commonly used scoring system for assessment of the severity of the disease. METHODS The present study is a prospective study of patients presenting with signs and symptoms of acute pancreatitis referred to the Department of Radio Diagnosis at Katuri medical college. This study comprised of 50 patients with clinical suspicion / diagnosis of acute pancreatitis, raised pancreatic biochemical parameters like serum amylase and serum lipase. Contrast enhanced computed tomography was performed in these patients, findings reported, and the disease was classified using modified CT scoring index system (MCTSI). RESULTS The mean age of the patients in the present study was 42.3 ± 12.28 years. Most of the patients presented with abdominal epigastric pain, abdominal distension. Acute pancreatitis was divided into acute oedematous pancreatitis and necrotising pancreatitis, the former being common. Complications included, ascites, pleural effusions, splenic vein thrombosis, portal venous thrombosis, and haemorrhages. CONCLUSIONS Contrast enhanced CT is useful to differentiate between oedematous and necrotising types of pancreatitis. The MCTSI helps in better evaluation of pancreatic necrosis grading. The modified computed tomography score index correlation with the development of local and systemic complications in acute pancreatitis is well established. Ideally, conducting contrast enhanced computed tomography (CECT) after 48 - 72 hours of acute attack, increases the probability of identifying necrotising pancreatitis. CT in particular has an overall accuracy of about 87 % and sensitivity and specificity of 100 % in the recognition of pancreatic necrosis. KEYWORDS Computed Tomography, Acute Pancreatitis, Pseudocyst, Modified CT Score Index

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Su1314 A Prospective Study of Acute Pancreatitis Secondary to Eus Guided Biopsy Through the Pancreatic Parenchyma: Associated Risk Factors

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2017.03.760 ◽

2017 ◽

Vol 85 (5) ◽

pp. AB331

Author(s):

Afonso L. Ribeiro ◽

Akash Goel

Keyword(s):

Risk Factors ◽

Acute Pancreatitis ◽

Prospective Study ◽

Pancreatic Parenchyma ◽

Guided Biopsy ◽

Associated Risk Factors ◽

A Prospective Study

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A clinicoradiological scoring for management of acute subdural hematoma: a prospective study

Romanian Neurosurgery ◽

10.2478/romneu-2018-0045 ◽

2018 ◽

Vol 32 (2) ◽

pp. 359-365

Author(s):

Sachidanand Gautam ◽

Anubhav Sharma ◽

S.C. Dulara

Keyword(s):

Prospective Study ◽

Subdural Hematoma ◽

Scoring System ◽

Head Injuries ◽

Postoperative Outcome ◽

Clinical History ◽

Acute Subdural Hematoma ◽

Subdural Hemorrhage ◽

Male Predominance ◽

A Prospective Study

Abstract Background: Acute subdural hematoma is the most common type of traumatic intra cranial hematoma accounting for 24% cases of severe head injuries and caries highest mortality. The aim of this study is to analyze the prognostic factors and to propose Neuro-clinical and radiological prognostic scoring system on the clinical spectrum and to evaluate the postoperative outcome and validate the same. Methods: This is a prospective Study which included 100 patients admitted in Government Medical College, Kota, Rajasthan from 01st Jan 2016 to 30 June 2017 with head injury and were diagnosed to have Traumatic Subdural Hemorrhage. A detailed clinical history, Physical examination, Computerized Tomography scan was performed in all patients and were divided into 2 groups; that is conservative or surgical interventional as per Neuro-clinical and radiological prognostic scoring system. Results: The maximum patients suffering from Subdural Hematoma were in the age group of 11-60 years with male predominance 72%. The most common mode of injury was RTA with 68 % of incidence. 36 out of 100 cases presented to hospital with GCS <8 while 44 patients showed improvement of GCS after resuscitation. Out of 100 cases, surgical approach was considered in 34 patients while remaining patients were managed conservatively. Pupillary reaction, Hypotension, CT scan findings that is, thickness of hematoma >10mm and midline shift of >5mm, delay in interval between the surgery had greatly affected on outcome of patients. Conclusions: According to the results, use of Neuro-clinical and radiological prognostic scoring system is very useful in determining early intervention and also avoids unnecessary surgical intervention.

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