To evaluate the effectiveness and usefulness of qSOFA scoring in predicting mortality in acute pancreatitis - A teaching institute study.

Abstract

Background and objective: Acute pancreatitis is a condition that presents with pain abdomen. It is an emergency condition and is associated with high mortality. The pain of acute pancreatitis is sudden on onset and starts in the epigastrium and may spread throughout the abdomen and radiate to the back. The aim of the study was to analyze the efficacy and limitations of qSOFA scoring in predicting the prognosis and thus shaping the therapeutic measures in the treatment of acute pancreatitis.

Material and methods: This teaching institute-based prospective and observational study was conducted on 84 patients of acute pancreatitis in the Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi from February 2021 to October 2022.

Results: The study showed male preponderance with 65% male patients and 35% female patients. Patients were categorised from the second decade of life to the sixth, and a maximum number of cases belonged to 31-40 years of age. The average length of hospital stay was calculated to be 15.6 days. A significant association was found between qSOFA scoring and ICU admissions with the P value being 0.001. Finally, the association between qSOFA scoring and mortality was analysed to have a P value of 0.001, with the death of seven patients among the 84 included in the study.

Conclusions: In the present study qSOFA scoring showed a sensitivity of 0.42 for a score of 1, a sensitivity of 0.36 for a score of 2, and a sensitivity of 0.03 for a score of 3. qSOFA scoring was helpful in predicting ICU admissions, as well as mortality considerably.