Escala BISAP como predictor de mortalidad en pacientes diagnosticados de pancreatitis aguda. Hospital Homero Castanier Crespo. Azogues, enero de 2016 - diciembre de 2017

Abstract

General objective: apply the BISAP scale to the clinical files of patients diagnosed with acute pancreatitis in the Hospital Homero Castanier Crespo, Azogues, from January 2016 to December 2017. Methodology: a quantitative, descriptive - retrospective study was conducted to investigate mortality in the clinical files of patients diagnosed with acute pancreatitis in the Hospital Homero Castanier Crespo from 2016-2017. Pre-prepared forms were applied. The data was analyzed with the SPSS version 20 and Excel programs, using frequency distributions and percentages. Results: 79 cases were studied, finding an average age of presentation at 48.5 years; of the total, 57% corresponded to the female sex. 12.7% of the total cases studied died, but the predominant form of pancreatitis was mild in 79.7%, which presented 0% mortality, contrasting with the severe form that presented a mortality of 62, 5%. Conclusions: the BISAP scale proved to be an effective and useful tool in the prediction of mortality in patients with acute pancreatitis; since it has greater sensitivity and specificity than other scales, and in the present study we observed that the scores 0 to 2 that are grouped within the mild classification, none of the cases died. While score 3 has a mortality of 55%, and scores 4 and 5 have a mortality of 100%. In addition, we appreciate that the parameters that appear on the BISAP scale are accessible and quick to obtain in the health system.