GIÁ TRỊ THANG ĐIỂM BISAP TRONG DỰ ĐOÁN VIÊM TỤY CẤP NẶNG THEO ATLANTA HIỆU CHỈNH 2012 TẠI BỆNH VIỆN ĐA KHOA THÁI BÌNH

Abstract

Objective: To evaluate the value of the BISAP score in predicting the severity of acute pancreatitis.

Subjects and Methods: A retrospective cross-sectional descriptive study was conducted on 143 patients with acute pancreatitis admitted to the Departments of Gastroenterology and General Surgery at Thai Binh General Hospital in 2025.

Results: The mean age of the study participants was 52.71 ± 13.62 years, and males accounted for 73.42%. Among the 143 patients included in the study, 29 had severe acute pancreatitis according to the 2012 Revised Atlanta Classification, accounting for 20.3%. Systemic inflammatory response syndrome (SIRS) and pleural effusion were the two BISAP components significantly associated with severe acute pancreatitis according to the 2012 Revised Atlanta Classification. In contrast, serum urea > 8.9 mmol/L, Glasgow score < 15, and age > 60 years were not significantly associated with severe acute pancreatitis. The BISAP score increased progressively with the severity of acute pancreatitis. The median BISAP scores were 0 (IQR: 0–1) in patients with mild acute pancreatitis, 1 (IQR: 0–1) in those with moderately severe acute pancreatitis, and 2 (IQR: 1–3) in those with severe acute pancreatitis. The difference among the three groups was statistically significant (p < 0.01). The area under the receiver operating characteristic curve (AUC) of the BISAP score for predicting severe acute pancreatitis was 0.894. At the recommended cutoff of BISAP ≥ 3, the sensitivity and specificity for predicting severe acute pancreatitis were 76.3% and 81.6%, respectively.

Conclusion: The BISAP score has high predictive value for severe acute pancreatitis within the first 24 hours after hospital admission.