GIÁ TRỊ CỦA THANG ĐIỂM BISAP TRONG DỰ ĐOÁN MỨC ĐỘ NẶNG VÀ TỬ VONG CỦA BỆNH NHÂN VIÊM TỤY CẤP

Abstract

Background: Predicting the severity in patients with acute pancreatitis helps detect complications early for timely intervention to help reduce mortality. Research objective: evaluate the value of the BISAP score in predicting severity and mortality of patients with acute pancreatitis. Research subjects and methods: cross-sectional descriptive study of 108 VTC patients hospitalized at A9 Emergency Center, Bach Mai Hospital from January 2022 to June 2023. Results: Among 108 patients, there were 28 (25.8%) severe VTC patients, 5 (4.6%) patients died. In predicting severe VTC, the area under the curve (AUC) of BISAP was 0.954 (0.916-0.992; p<0.01). At the BISAP cutoff point are 3 predictions of severe VTC with sensitivity, specificity, positive predictive value, negative predictive value of 85.7%, 90%, 75%, 92.3% respectively. In predicting mortality in patients with acute pancreatitis, the BISAP score has an AUC of 0.891; At cutoff point 3, sensitivity is 100% and specificity is 72.8%. Conclusion: BISAP is a highly valuable score in predicting severe VTC and death within 24 hours of hospitalization.