Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients

In recent years, with the developing of living standard, hyperlipidemia becomes the second major reason of acute pancreatitis. It is important to predict the severity and prognosis at early stage of hyperlipidemic acute pancreatitis (HLAP). We compared the BISAP, Ranson, MCTSI, and APACHE II scoring...

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Main Authors: Lixin Yang, Jing Liu, Yun Xing, Lichuan Du, Jing Chen, Xin Liu, Jianyu Hao
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/1834256
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author Lixin Yang
Jing Liu
Yun Xing
Lichuan Du
Jing Chen
Xin Liu
Jianyu Hao
author_facet Lixin Yang
Jing Liu
Yun Xing
Lichuan Du
Jing Chen
Xin Liu
Jianyu Hao
author_sort Lixin Yang
collection DOAJ
description In recent years, with the developing of living standard, hyperlipidemia becomes the second major reason of acute pancreatitis. It is important to predict the severity and prognosis at early stage of hyperlipidemic acute pancreatitis (HLAP). We compared the BISAP, Ranson, MCTSI, and APACHE II scoring system in predicting MSAP and SAP, local complications, and mortality of HLAP. A total of 326 diagnosed hyperlipidemic acute pancreatitis patients from August 2006 to July 2015 were studied retrospectively. Our result showed that all four scoring systems can be used to predict the severity, local complications, and mortality of HLAP. Ranson did not have significant advantage in predicting severity and prognosis of HLAP compared to other three scoring systems. APACHE II was the best in predicting severity of HLAP, but it had shortcoming in predicting local complications. MCTSI had outstanding performance in predicting local complications, but it was poor in predicting severity and mortality. BISAP score had high accuracy in assessment of severity, local complications, and mortality of HLAP, but the accuracy still needs to be improved in the future.
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institution Kabale University
issn 1687-6121
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language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-29b740d68eb04d7db3b7c94cbe92da242025-02-03T01:01:15ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/18342561834256Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese PatientsLixin Yang0Jing Liu1Yun Xing2Lichuan Du3Jing Chen4Xin Liu5Jianyu Hao6Department of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaBeijing First Hospital of Integrated Chinese and Western Medicine, Beijing, ChinaDepartment of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaDepartment of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaDepartment of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaHebei Xianghe People’s Hospital, Xianghe, ChinaDepartment of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaIn recent years, with the developing of living standard, hyperlipidemia becomes the second major reason of acute pancreatitis. It is important to predict the severity and prognosis at early stage of hyperlipidemic acute pancreatitis (HLAP). We compared the BISAP, Ranson, MCTSI, and APACHE II scoring system in predicting MSAP and SAP, local complications, and mortality of HLAP. A total of 326 diagnosed hyperlipidemic acute pancreatitis patients from August 2006 to July 2015 were studied retrospectively. Our result showed that all four scoring systems can be used to predict the severity, local complications, and mortality of HLAP. Ranson did not have significant advantage in predicting severity and prognosis of HLAP compared to other three scoring systems. APACHE II was the best in predicting severity of HLAP, but it had shortcoming in predicting local complications. MCTSI had outstanding performance in predicting local complications, but it was poor in predicting severity and mortality. BISAP score had high accuracy in assessment of severity, local complications, and mortality of HLAP, but the accuracy still needs to be improved in the future.http://dx.doi.org/10.1155/2016/1834256
spellingShingle Lixin Yang
Jing Liu
Yun Xing
Lichuan Du
Jing Chen
Xin Liu
Jianyu Hao
Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients
Gastroenterology Research and Practice
title Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients
title_full Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients
title_fullStr Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients
title_full_unstemmed Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients
title_short Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients
title_sort comparison of bisap ranson mctsi and apache ii in predicting severity and prognoses of hyperlipidemic acute pancreatitis in chinese patients
url http://dx.doi.org/10.1155/2016/1834256
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