Abstract
Background: Acute pancreatitis (AP) is a medical emergency with potentially serious complications. Early prediction of severity is crucial for improving treatment outcomes and reducing mortality. Scoring systems such as the Modified Glasgow Score (MGS) and the Bedside Index for Severity in Acute Pancreatitis (BISAP) are widely used to assess disease severity and predict complications. Objective: This study aimed to describe the clinical and paraclinical characteristics and complications of AP, and to compare the predictive value of MGS and BISAP scores in forecasting complications and mortality in AP patients.
Materials and Methods: A crosssectional descriptive study was conducted on 57 patients diagnosed with AP who were admitted to Khanh Hoa General Hospital from June 2022 to August 2023. BISAP scores were assessed within the first 24 hours of admission, and MGS scores were evaluated after 48 hours. Clinical, laboratory, and outcome data were collected and analyzed. Results: The mean age was 41.91 ± 13.34 years; 70.2% were male. The most common cause was alcohol consumption (56.1%). Local complications occurred in 73.8% of cases, predominantly peripancreatic fluid collection (66.7%). For predicting organ failure, an MGS score ≥ 3 had an AUC of 0.86, with sensitivity of 64.29% and specificity of 91.49%. A BISAP score ≥ 3 had an AUC of 0.83, with sensitivity of 42.86% and specificity of 93.02%. For mortality prediction, both scores showed high AUC values (0.92 for MGS and 0.97 for BISAP), with both demonstrating 100% sensitivity; BISAP showed higher specificity.
Conclusion: Both MGS and BISAP scores are highly valuable in predicting complications and mortality in AP. BISAP is suitable for early triage at primary care levels, while MGS is more effective in hospital settings with follow-up capacity after 48 hours.
| Published | 2025-12-25 | |
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| Issue | Vol. 15 No. 7 (2025) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2025.7.25 | |
| Keywords | viêm tụy cấp, BISAP, MGS, mức độ nặng, biến chứng, tử vong Acute pancreatitis, BISAP, MGS, severity, complications, mortality |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Hue Journal of Medicine and Pharmacy
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