GIÁ TRỊ PHỐI HỢP CỦA THANG ĐIỂM HAPS VÀ BISAP TRONG TIÊN LƯỢNG MỨC ĐỘ NẶNG Ở BỆNH NHÂN VIÊM TỤY CẤP

Abstract

Objective: An analysis of the prognostic value of the combined HAPS and BISAP scores in predicting the severity in patient of acute pancreatitis. Materials and Methods: A cross-sectional descriptive study was conducted on 120 patients with acute pancreatitis who were admitted for treatment at the Gastroenterology and Hepatology Center, Bach Mai Hospital, from November 2024 to June 2025. The HAPS and BISAP scores were evaluated within the first 24 hours of hospital admission. The severity of acute pancreatitis was evaluated according to the 2012 Atlanta classification. Results: Both the HAPS and BISAP scores are valuable in predicting the severity of acute pancreatitis, with areas under the ROC curve (AUC) of 0.752 and 0.928, respectively. The combination of the HAPS and BISAP scores yielded an AUC of 0.933 (95% CI: 0.879–0.987), which was higher than that of either score alone. The results were statistically significant with p < 0.001. Conclusion: The combination of HAPS and BISAP scores enhances the prognostic value for assessing the severity of acute pancreatitis compared to using either score alone.