KHẢO SÁT GIÁ TRỊ CỦA THANG ĐIỂM HAPS VÀ BISAP TRONG DỰ ĐOÁN MỨC ĐỘ NẶNG Ở BỆNH NHÂN VIÊM TỤY CẤP

Abstract

Objective: Evaluation of HAPS and BISAP Scores in Predicting Severity of Acute Pancreatitis Patients at Bach Mai Hospital, 2024-2025. Materials and Methods: A cross-sectional study of 120 patients diagnosed with acute pancreatitis and treated at the Gastroenterology and Hepatology Center, Bach Mai Hospital, from November 2024 to June 2025. The HAPS and BISAP scores were assessed within the first 24 hours. Results: The HAPS score demonstrated a fair prognostic value for predicting the severity of acute pancreatitis, with an area under the ROC curve (AUC) of 0.752 (95% CI: 0.672–0.878). At the cut-off value of HAPS = 3 points, the sensitivity was 61.1%, specificity 84.3%, positive predictive value (PPV) 49.7%, and negative predictive value (NPV) 92.5%. The BISAP score demonstrated a good prognostic value for predicting the severity of acute pancreatitis, with an AUC of 0.928 (95% CI: 0.878–0.978). At the cut-off value of BISAP = 3 points, the sensitivity was 81.3%, specificity 90.4%, PPV 66.5%, and NPV 96.9%. The results were statistically significant with p < 0.001. Conclusion: The BISAP score has a better prognostic value than the HAPS score in predicting the severity of acute pancreatitis, particularly within the first 24 hours of hospitalization.