Abstract

Acute pancreatitis is an inflammatory process of the pancreas involving regional issues and/or remote organ systems and widely variable clinical and systemic manifestations. Identification of patients at risk of development of organ failure and severe pancreatitis would result in better patient management. Hence, we tried to predict mortality and outcome of Acute Pancreatitis in relation to BISAP score and MCTSI score. Methodology: This is a prospective, observational study conducted on patients admitted in GGH, Kurnool for a period of 2 years between 2016 to 2017. After considering inclusion and exclusion criteria, all required parameters were collected from eligible patients, including routine blood investigations and CECT/NCCT done after 72 hours of admission and analysed. Statistical analysis was performed using SPSS 23rd version. Results: Of the 190 cases admitted, 100 consecutive cases of acute pancreatitis were included in the study. Most common age group was 31 to 45 years. Majority were Males (84%), Alcohol was the commonest aetiology (69%), Pain Abdomen (88%) was common presentations. The median length of hospital stay was eight days. High BUN, high hematocrit were seen in 23%, 40% respectively, BISAP Score ≥ 3 in 27% and MCTSI score ≥ 8 in 46% of cases. Pancreatic collections are seen in 26% of cases. Higher BISAP scores were associated with higher MCTSI scores and poor outcome. Conclusions: At admission BISAP score is simple and bedside tool for assessment & to triage the patients and CT scan done after the 3rd day may overestimate the necrosis. Biliary pancreatitis had an excellent prognosis despite high MCTSI scores.

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