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

Akut pankreatitte şiddetin öngörülmesinde BUN/albümin oranı ile BISAP skorunun karşılaştırılması

Amaç: Bu çalışmada acil serviste akut pankreatit tanısı alan hastalar, hastalık şiddeti ve prognoz göstergesi olan BAR ve BISAP skorları karşılaştırılarak değerlendirildi. Gereç veYöntem: Retrospektif olarak planlanan bu gözlemsel çalışmaya 2016-2021 yılları arasında akut pankreatit tanısı alan 457 hasta dahil edildi. Hastaların laboratuvar verileri ve hesaplanan BİSAP skorları kaydedildi. Elde edilen tüm sonuçlar istatistiksel olarak değerlendirildi. Bulgular: Hastalar BISAP skoruna göre sınıflandırıldı, 385 (%84,2) hasta akut pankreatit açısından düşük riskli iken, 72 (%15,8) hasta yüksek riskli idi. BİSAP kategorileri için BAR değerinin regresyon analizi yapılmıştır. BAR değeri arttıkça BİSAP yüksek risk değeri 38.339 kat arttı. BAR ve BİSAP değerlendirme kriterleri arasındaki duyarlılık oranı %68,67 (0,60-0,75) olarak bulundu ve BAR değerinin BİSAP skoru kadar hastalığın şiddeti ile güçlü bir şekilde ilişkili olduğu belirlendi. Sonuçlar: Bu çalışma, BAR'ın yüksek riskli akut pankreatiti belirlemede BISAP skorları kadar etkili olduğunu göstermektedir.

Anahtar Kelimeler:

Acil servis, akut pankreatit, BİSAP, BAR.

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

Purpose: This study evaluated patients diagnosed with acute pancreatitis in the emergency department by comparing the BUN/Albumin Ratio (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 (84.2%) patients were at low risk for acute pancreatitis, while 72 (15.8%) were at high risk. The AUC for BAR values was 0.757 (75.7%), and this was statistically significant for determining cutoff values, with a cutoff value of >4.60 (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% (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:

BUN/albumın ratıo, Emergency department, acute pancreatitis, BISAP,

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