Comparison of the BUN/albumin ratio and BISAP score in predicting severity of acute pancreatitis

Authors : Mehmet Göktuğ EFGAN, Umut PAYZA, Osman Sezer ÇINAROĞLU, Ecem ERMETE GÜLER, Ahmet KAYALI

Pages : 1096-1105

Doi:10.17826/cumj.1334913

View : 32 | Download : 41

Publication Date : 2023-09-30

Article Type : Research Paper

Abstract :Purpose: This study evaluated patients diagnosed with acute pancreatitis in the emergency department by comparing the BUN/Albumin Ratio insert ignore into journalissuearticles values(BAR); and BISAP scores to indicate disease severity and prognosis. Materials and Methods: 457 patients diagnosed with acute pancreatitis between 2016 and 2021 were included in this observational study, which was planned retrospectively. The laboratory data of the patients and the calculated BISAP scores were recorded. Results: Patients were categorized according to the BISAP score; 385 insert ignore into journalissuearticles values(84.2%); patients were at low risk for acute pancreatitis, while 72 insert ignore into journalissuearticles values(15.8%); were at high risk. The AUC for BAR values was 0.757 insert ignore into journalissuearticles values(75.7%);, and this was statistically significant for determining cutoff values, with a cutoff value of >4.60 insert ignore into journalissuearticles values(p<0.001);. Regression analysis of the BAR value was performed for the BISAP categories. As the BAR value increased, the BISAP high-risk value increased 38,339 times. The sensitivity ratio between BAR and BISAP evaluation criteria was found to be 68.67% insert ignore into journalissuearticles values(0.60-0.75);, and it was determined that the BAR value was as strongly correlated with the severity of the disease as the BISAP score. Conclusion: This study shows that BAR is as effective as BISAP scores in determining high-risk acute pancreatitis.
Keywords : Acil servis, akut pankreatit, BİSAP, BAR