Fig 1
Fig 2
Comparison of BISAP score between different studies
| BISAP SCORE | SCORE≤2 | SCORE ≥3 |
|---|---|---|
| Present study (2021) | 64% | 36% |
| Chittipotula et al(2020)[8] | 64% | 36% |
| Hagjer et al(2017)[9] | 80% | 20% |
| Chandrashekhar et al[11] | 82% | 18% |
| Venkatapuram MR et al. (2018)[12] | 64% | 36% |
| Veena P et al (2020)[14] | 64% | 36% |
| Katta et al (2016)[15] | 74.51% | 25.49% |
Comparison of mean in according to severity of BISAP score with different parameters
| BISAP | ≤2 (n=32) | ≥3(n=18) | t-value | p-Value | ||
|---|---|---|---|---|---|---|
| Mean | Std. Deviation | Mean | Std. Deviation | |||
| HOSPITAL STAY(DAYS) | 10.28 | 2.738 | 13.22 | 3.96 | -3.094 | 0.003 |
| TEMPERATURE (Degree C) | 38.28 | 0.63 | 38.44 | 0.61 | -0.88 | 0.38 |
| RESPIRATORY RATE (breaths per minute) | 17.19 | 1.12 | 18 | 1.13 | -2.44 | 0.01 |
| PULSE (beats per minute) | 93.5 | 2.12 | 95.28 | 2.71 | -2.56 | 0.01 |
| TLC/mm3 | 12652.97 | 1873.79 | 13456 | 1311.53 | -1.60 | 0.11 |
| NEUTROPHILS | 77.63 | 4.61 | 79.11 | 3.54 | -1.18 | 0.24 |
| LYMPHOCYTES | 46.91 | 8.49 | 48.67 | 10.16 | -0.65 | 0.51 |
| BASO | 0 | 0 | 0.11 | 0.32 | -1.9 | 0.056 |
| MONOCYTES | 2.47 | 0.76 | 2.78 | 0.80 | -1.34 | 0.18 |
| EOSINOPHIL | 4.84 | 1.81 | 5.44 | 1.79 | -1.12 | 0.26 |
| BLOOD UREA (mg/dL) | 39.72 | 5.68 | 175.83 | 98.53 | -7.85 | <0.001 |
| SERUM CREATININE mg/dL | 1.022 | 0.25 | 2.594 | 0.843 | -9.84 | <0.001 |
| SERUM AMYLASE (U/L) | 329.63 | 63.20 | 413.78 | 153.57 | -2.73 | 0.009 |
| SERUM LIPASE(U/L) | 624.16 | 171.58 | 830.61 | 166.02 | -4.13 | <0.001 |
| SERUM CALCIUM (mg/dL) | 8.6 | 0.87 | 8.85 | 0.54 | -1.10 | 0.27 |
Relationship of Bisap Score Severity with Etiology
| Bisap | ≤2 | ≥3 | Total | Chi square value | |||
|---|---|---|---|---|---|---|---|
| Etiology | n | % | n | % | n | % | 647 |
| Hypertriglyceridemia | 3 | 9.40 | 1 | 5.60 | 4 | 8.00 | |
| Gall stones | 7 | 21.90 | 7 | 38.90 | 14 | 28.00 | |
| Idiopathic | 10 | 31.30 | 6 | 33.30 | 16 | 32.00 | |
| Alcoholic | 9 | 28.10 | 3 | 16.70 | 12 | 24.00 | |
| Drug induced | 2 | 6.30 | 0 | 0.00 | 2 | 4.00 | |
| Post ERCP | 1 | 3.10 | 1 | 5.60 | 2 | 4.00 | |
| Total | 32 | 100 | 18 | 100 | 50 | 100 | |
Relationship of BISAP score severity with various parameters
| BISAP | ≤2 | ≥3 | Total | Chi Square P-Value | |||
|---|---|---|---|---|---|---|---|
| N | % | N | % | N | % | ||
| Temperature (≥39) | 12 | 37.50% | 9 | 50.00% | 21 | 42.00% | .390 |
| Pancreatic Necrosis | 6 | 18.75% | 6 | 33.30% | 12 | 24.50% | .273 |
| BUN(>25) | 2 | 6.30% | 16 | 88.90% | 18 | 36.00% | .001 |
| Age(>60) | 0 | 0.00% | 8 | 44.40% | 8 | 16.00% | <.001 |
| Pleural Effusion | 17 | 53.10% | 17 | 94.40% | 34 | 68.00% | .003 |
| Impaired Mental Status | 0 | 0 | 0 | 0 | 0 | 0 | - |
| SIRS | 32 | 100.00% | 18 | 100.00% | 50 | 100.00% | .515 |
| Organ Complication | |||||||
| No Complication | 32 | 100.00% | 0 | 0.00% | 32 | 64.00% | <.001 |
| ARDS | 0 | 0.00% | 2 | 11.10% | 2 | 4.00% | |
| Cardiac | 0 | 0.00% | 1 | 5.60% | 1 | 2.00% | |
| Mods | 0 | 0.00% | 2 | 11.10% | 2 | 4.00% | |
| Renal | 0 | 0.00% | 13 | 72.20% | 13 | 26.00% | |
| Total | 32 | 100.00% | 18 | 100.00% | 50 | 100.00% | |
Baseline characteristics of the patients
| Parameters(n=50) | Mean/n | Std. Deviation/% |
|---|---|---|
| AGE (YEARS) | 41.92 | 15.018 |
| SEX (male ) | 25 | 50% |
| HOSPITAL STAY(DAYS) | 11.34 | 3.497 |
| TEMPERATURE (Degree C) | 38.34 | 0.626 |
| RESPIRATORY RATE (breaths per minute) | 17.48 | 1.182 |
| PULSE (beats per minute) | 94.14 | 2.483 |
| TLC/mm3 | 12942.06 | 1723.282 |
| NEUTROPHILS | 78.16 | 4.287 |
| LYMPHOCYTES | 47.54 | 9.072 |
| BASO | 0.04 | 0.198 |
| MONOCYTES | 2.58 | 0.785 |
| EOSINOPHIL | 5.06 | 1.812 |
| BLOOD UREA (mg/dL) | 88.72 | 88.005 |
| SERUM CREATINE mg/dL | 1.588 | 0.9323 |
| SERUM AMYLASE (U/L) | 359.92 | 111.241 |
| SERUM LIPASE(U/L) | 698.48 | 195.474 |
| SERUM CALCIUM (mg/dL) | 8.69 | 0.7726 |