Comparing prognostic scoring systems in acute pancreatitis: Bedside Index of Severity in Acute Pancreatitis, WL, and Chinese Simple Scoring System Scores

被引:2
作者
Guzel, Yunus Emre [1 ,2 ]
Colak, Nese [1 ]
Okuv, Ahmet Can [1 ]
Teymuroglu, Sefer [1 ,3 ]
Teke, Muhammet Ikbal [1 ,4 ]
机构
[1] Dokuz Eylul Univ, Sch Med, Dept Emergency Med, Izmir, Turkiye
[2] Adiyaman Educ & Res Hosp, Dept Emergency Med, TR-02100 Adiyaman, Turkiye
[3] Dokuz Eylul Univ, Sch Med, Dept Radiol, Izmir, Turkiye
[4] Hacettepe Univ, Sch Med, Dept Child & Adolescent Psychiat, Ankara, Turkiye
来源
TURKISH JOURNAL OF EMERGENCY MEDICINE | 2024年 / 24卷 / 03期
关键词
Acute pancreatitis; Bedside Index of Severity in Acute Pancreatitis; Chinese Simple Scoring System; emergency department; mortality; outcomes; scoring systems; WL;
D O I
10.4103/tjem.tjem_14_24
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
OBJECTIVES: Several scoring systems are used to predict prognosis in acute pancreatitis (AP), but their predictive success varies. This study compares the validity of the commonly used Bedside Index of Severity in AP (BISAP) score with the newly developed WL score and the Chinese Simple Scoring System (CSSS) score in predicting mortality and unfavorable prognostic outcomes in AP patients. METHODS: This retrospective descriptive study included all AP patients presenting to the emergency department from June 2, 2019, to June 2, 2022. Patient demographics, vital signs, laboratory values, and imaging findings were recorded, and WL, CSSS, and BISAP scores were calculated. The effectiveness of these scores in predicting adverse outcomes and mortality was compared. RESULTS: Among 357 patients, 53.2% were male, with a median age of 62 years (interquartile range: 48-75). Area under the curve (AUC) values for 7-day outcomes were 0.956 for WL, 0.759 for CSSS, and 0.871 for BISAP; for 30-day outcomes, AUC values were 0.941 for WL, 0.823 for CSSS, and 0.901 for BISAP; and for poor prognostic outcomes, AUC values were 0.792 for WL, 0.769 for CSSS, and 0.731 for BISAP. CONCLUSION: In AP patients, WL, CSSS, and BISAP scores are effective predictors of unfavorable prognosis and mortality. WL score outperforms the CSSS and BISAP scores in predicting 7-day and 30-day mortality and poor prognosis. After WL, BISAP is the second-best system for predicting mortality. For predicting unfavorable prognoses, CSSS is the second-best system after WL. The simplicity of calculating the WL score based on four laboratory parameters makes it a preferable choice.
引用
收藏
页码:165 / 171
页数:7
相关论文
共 13 条
[1]   Accuracy of BISAP score in prediction of severe acute pancreatitis [J].
Arif, Anum ;
Jaleel, Farhat ;
Rashid, Khalid .
PAKISTAN JOURNAL OF MEDICAL SCIENCES, 2019, 35 (04) :1008-1012
[2]   Critical thresholds: key to unlocking the door to the prevention and specific treatments for acute pancreatitis [J].
Barreto, Savio George ;
Habtezion, Aida ;
Gukovskaya, Anna ;
Lugea, Aurelia ;
Jeon, Christie ;
Yadav, Dhiraj ;
Hegyi, Peter ;
Venglovecz, Viktoria ;
Sutton, Robert ;
Pandol, Stephen J. .
GUT, 2021, 70 (01) :194-203
[3]   American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis [J].
Crockett, Seth D. ;
Wani, Sachin ;
Gardner, Timothy B. ;
Falck-Ytter, Yngve ;
Barkun, Alan N. .
GASTROENTEROLOGY, 2018, 154 (04) :1096-1101
[4]   The effect of age on hospital outcomes in severe acute pancreatitis [J].
Gardner, Timothy B. ;
Vege, Santhi Swaroop ;
Chari, Suresh T. ;
Pearson, Randall K. ;
Clain, Jonathan E. ;
Topazian, Mark D. ;
Levy, Michael J. ;
Petersen, Bret T. .
PANCREATOLOGY, 2008, 8 (03) :265-270
[5]   The product value of serum albumin and prothrombin time activity could be a useful biomarker for severity prediction in AP: An ordinal retrospective study [J].
Li, Shoukang ;
Liu, Zhiqiang ;
Wu, Heshui .
PANCREATOLOGY, 2019, 19 (02) :230-236
[6]   Acute biliary pancreatitis: Diagnosis and management [J].
Liu, CL ;
Lo, CM ;
Fan, ST .
WORLD JOURNAL OF SURGERY, 1997, 21 (02) :149-154
[7]   BILIARY SURGERY IN THE SAME ADMISSION FOR GALLSTONE-ASSOCIATED ACUTE-PANCREATITIS [J].
OSBORNE, DH ;
IMRIE, CW ;
CARTER, DC .
BRITISH JOURNAL OF SURGERY, 1981, 68 (11) :758-761
[8]   A simple new scoring system for predicting the mortality of severe acute pancreatitis A retrospective clinical study [J].
Wang, Lei ;
Zeng, Yan-Bo ;
Chen, Jia-Yun ;
Luo, Qian ;
Wang, Rowan ;
Zhang, Ruijie ;
Zheng, Daniel ;
Dong, Yuan-Hang ;
Zou, Wen-Bin ;
Xie, Xiaoqing ;
Du, Yi-Qi ;
Li, Zhao-Shen .
MEDICINE, 2020, 99 (23)
[9]   A new scoring system can be applied to predict the organ failure related events in acute pancreatitis accurately and rapidly [J].
Wu, Heshui ;
Li, Jinsong ;
Zhao, Jingyuan ;
Li, Shoukang .
PANCREATOLOGY, 2020, 20 (04) :622-628
[10]   Accuracy of conventional and novel scoring systems in predicting severity and outcomes of acute pancreatitis: a retrospective study [J].
Wu, Qing ;
Wang, Jie ;
Qin, Mengbin ;
Yang, Huiying ;
Liang, Zhihai ;
Tang, Guodu .
LIPIDS IN HEALTH AND DISEASE, 2021, 20 (01)