A COMPARATIVE STUDY OF RANSON’S SCORING vs BISAP SCORING IN PREDICTING MORBIDITY AND MORTALITY IN ACUTE PANCREATITIS
Keywords:
Ranson’s Scoring, BISAP Scoring, Acute Pancreatitis, Systemic Inflammatory Response Syndrome, Acute Respiratory Distress Syndrome, Acute Renal Failure, Multiple Organ Dysfunction Syndrome, Abnormal Hematopoiesis, Prognosis, Morbidity, MortalityAbstract
Aims:
To identify association of Ranson’s criteria and BISAP scoring with the outcome of Acute Pancreatitis.
Materials and Methods:
This 24-month prospective longitudinal study at the Department of General Surgery, RIMS, Ranchi,
Jharkhand, included all acute pancreatitis patients attending the surgery OPD and emergency services. Patients over 18 years old diagnosed according to the Atlanta criteria were included, while those who refused participation or presented with an acute abdomen more than 48 hours after pain onset were excluded. Based on a pancreatitis prevalence study (Ouyang et al., BMC Medicine, 2020), a sample size of 76 was calculated with a 95% CI and 5% margin of error, but 203 samples were included to enhance study power.
Results:
This study of 203 acute pancreatitis patients predominantly involved males (77.3%), mostly aged 31-40 years (32.0%). Alcohol consumption (76.8%) and gallstones (23.2%) were major etiological factors. A mortality rate of 3.4% were observed among the subjects. Complications such as SIRS, pleural effusion, ARDS, ARF, liver failure, cardiac failure, neuropathy, abnormal hematopoiesis, MODS were observed. Continuous variables like age and TLC were statistically analyzed, revealing significant findings about disease severity and prognosis.
Conclusion:
RANSON’S score offers superior prediction accuracy for morbidity and mortality in acute pancreatitis, BISAP score's ease of calculation and immediate applicability make it a practical alternative. Each score has its advantages, with RANSON’S being more effective over 48 hours and BISAP providing quick, bedside assessment.
