Comparison of efficacy between APACHE II and BISAP scales as predictive values of morbidity and mortality in acute pancreatitis
DOI:
https://doi.org/10.55204/scc.v2i2.e38Keywords:
APACHE II, BISAP, pancreatitis, morbidity, predictive valueAbstract
Introduction: Acute pancreatitis is a global health problem, is an inflammatory process of the pancreas with possible peripancreatic tissue and that produces a multiorganic involvement which increases the mortality rate as well as the cost in the care of patients suffering from it.
Objective: To compare the scales of APACHE II and BISAP as predictive values of morbidity and mortality in acute pancreatitis.
Development: Studies show that APACHE II and BISAP scales can be used with good results to predict the severity of BP, since they exclude negative cases very well and can be treated more easily without the risk of subsequent complications. The inaccuracies in APACHE II link them to the fact that this scale was not initially created for PA, in terms of BISAP, its simplicity and that they include a subjective evaluation of the mental status of the patient that sometimes has its drawbacks.
Conclusions: The APACHE II scale can be more effective in many cases, but it is also more complex and requires imaging and more items, while BISAP is more practical, including fewer elements.
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