Comparative study between ranson’s score and bisap score in predicting the severity of acute pancreatitis

Background and Objectives: To assess the accuracy of BISAP scoring system vs Ranson’s scoring system in predicting the Severity in an attack of acute pancreatitis.
Methods: The proposed study was a comparative study conducted in the Department of Surgery, JJM medical college and Bapuji Hospital, Davangere over a time period of 19 months from NOVEMBER 2016 to MAY 2018. 80 patients were included in the study who were diagnosed and admitted with acute pancreatitis based on clinical examination, biochemical and radiological investigations. In all 80 patients, BISAP score is calculated within 24 hours of admission and in the same patient Ranson’s score is also calculated within 48 hours of admission and in both the scores, the severity of acute pancreatitis is determined and both scores are compared. We compared the accuracy of Ranson’s scoring and BISAP system in predicting the severity of acute pancreatitis.
Results: p value of this study is 0.000 which is statistically significant.
Interpretation and Conclusion: BISAP score is equally effective in predicting the severity in patients with acute pancreatitis as Ranson’s score. Every surgeon should first consider using BISAP score to assess severity of AP.