A comparison of the BISAP score and serum procalcitonin for predicting the severity of acute pancreatitis

被引:37
|
作者
Kim, Byung Geun
Noh, Myung Hwan
Ryu, Choong Heon
Nam, Hwa Seong
Woo, Su Mi
Ryu, Seung Hee
Jang, Jin Seok
Lee, Jong Hun
Choi, Seok Ryeol
Park, Byeong Ho
机构
[1] Division of Gastroenterology, Department of Internal Medicine, Busan
[2] Department of Radiology, Dong-A University College of Medicine, Busan
来源
KOREAN JOURNAL OF INTERNAL MEDICINE | 2013年 / 28卷 / 03期
关键词
C-REACTIVE PROTEIN; APACHE-II; CALCITONIN PRECURSORS; CLINICAL-VALUE; MARKERS; DYSFUNCTION; MANAGEMENT; CYTOKINES; PROGNOSIS; MORTALITY;
D O I
10.3904/kjim.2013.28.3.322
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background/Aims: The bedside index of severity in acute pancreatitis (BISAP) is a new, convenient, prognostic multifactorial scoring system. As more data are needed before clinical application, we compared BISAP, the serum procalcitonin (PCT), and other multifactorial scoring systems simultaneously. Methods: Fifty consecutive acute pancreatitis patients were enrolled prospectively. Blood samples were obtained at admission and after 48 hours and imaging studies were performed within 48 hours of admission. The BISAP score was compared with the serum PCT, Ranson's score, and the acute physiology and chronic health examination (APACHE)-II, Glasgow, and Balthazar computed tomography severity index (BCTSI) scores. Acute pancreatitis was graded using the Atlanta criteria. The predictive accuracy of the scoring systems was measured using the area under the receiver-operating curve (AUC). Results: The accuracy of BISAP (>= 2) at predicting severe acute pancreatitis was 84% and was superior to the serum PCT (>= 3.29 ng/mL, 76%) which was similar to the APACHE-II score. The best cutoff value of BISAP was 2 (AUC, 0.873; 95% confidence interval, 0.770 to 0.976; p < 0.001). In logistic regression analysis, BISAP had greater statistical significance than serum PCT. Conclusions: BISAP is more accurate for predicting the severity of acute pancreatitis than the serum PCT, APACHE-II, Glasgow, and BCTSI scores.
引用
收藏
页码:322 / 329
页数:8
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