Patients aged 50 to 59 years old accounted for 40% of all patients, followed by patients aged 40 to 49 years old (20%), and patients aged 20 to 29 years old (16.7%). According to marital status, 93.3% of patients were married. By dividing the patients according to the medical history, we had four cases that had joint hyperlipidemia, recurrent pancreatitis, arterial hypertension, and type 2 diabetes (13.3%), while we had two unassociated cases with a history of (6.7%). With regard to surgical history, we had 5 cases with a no previous surgery rate of 16.7%, while 4 cases had cholecystectomy with a rate of (13.3%), and two cases with appendectomy in addition to cardiac catheterization (6.7%). 15 patients (50%) were smokers. The most common symptoms in 22 patients (73.3%) were vomiting, 8 diarrhea or constipation (26.6%), 8 nausea (26.6%), 5 lack of appetite (16.6%), 5 fever (16.6%) and 4 chills (13.3%) [Table 1]
Table 1
73.3
|
22
|
vomiting
|
26.6
|
8
|
Diarrhea/ constipation
|
26.6
|
8
|
nausea
|
16.6
|
5
|
lack of appetite
|
16.6
|
5
|
fever
|
13.3
|
4
|
chills
|
As for the vital signs, the average heart rate of the patients was 85.72 beats per minute with a deviation of 13.087, while the mean temperature of the patients was 37.54 Celsius with a deviation of 0.387, and the average number of breaths was 20.13 times per minute with a deviation of 4.167 [Table 2]
Table 2
breaths
|
temperature
|
Heart rate
|
|
20.13
|
37.54
|
85.72
|
SMA
|
4.167
|
.387
|
13.087
|
standard deviation
|
14
|
37
|
60
|
Less value
|
32
|
38
|
120
|
Highest value
|
The mean white blood cell count in the patients was 13020.54, deviation 5001,944, mean hemoglobin 13.26, deviation 2.189, mean platelet count 235.62, deviation 89.172, mean sed rate 45.39, deviation 26.631, mean PT 77.25, deviation 43.337, mean INR 14.622, deviation 4.48 [Table 3].
Table 3
Patients’ hematologic profile.
INR
|
PT
|
ESR
|
Platelets
|
HB
|
WBCs
|
|
4.48
|
77.25
|
45.39
|
235.62
|
13.26
|
13020.54
|
SMA
|
14.622
|
43.337
|
26.631
|
89.172
|
2.189
|
5001.944
|
standard deviation
|
1
|
16
|
17
|
135
|
9
|
16
|
Less value
|
67
|
209
|
101
|
465
|
18
|
27500
|
Highest value
|
The average total bilirubin was 0.98, with a deviation of 1.115, where the mean direct bilirubin was 0.60, with a deviation of 0.974, while the mean of the liver enzymes were as follows: 54.90 for AST, with a deviation of 103.421, and 57.19 for ALT, with a deviation of 130,851, and 122.04 for ALP, with a deviation of 81.347, and 61. GGT, with a deviation of 71.592 [Table 4]
Table 4
GGT
|
ALP
|
ALT
|
AST
|
Bilirubin direct
|
Bilirubin total
|
|
61.38
|
122.04
|
57.19
|
54.90
|
.60
|
.98
|
SMA
|
71.592
|
81.347
|
130.851
|
103.421
|
.974
|
1.115
|
Standard deviation
|
7
|
40
|
9
|
11
|
0
|
0
|
Less value
|
380
|
325
|
722
|
532
|
4
|
4
|
Highest value
|
As for the mean amylase, it was 1184.50 with a deviation of 1122.668, and the mean glutamate was 245.23 with a deviation of 114.206, and the mean inflammatory marker (CRP) was 91.43, with a deviation of 82.558, and the mean creatinine was 1.08, with a deviation of 1.129, and the mean of sodium was 137.74, with a deviation of 2.917, and the mean of potassium was 4.09024, with a deviation of 2.2. with deviation of 3.435. [Table 5].
Table 5
Patients’ laboratory values.
Ca
|
K
|
NA
|
Cr
|
CRP
|
GLU
|
Amylase
|
|
2.90
|
4.02
|
137.74
|
1.08
|
91.43
|
245.23
|
1184.50
|
SMA
|
3.435
|
.724
|
2.917
|
1.129
|
82.558
|
114.206
|
1122.668
|
Standard deviation
|
1
|
3
|
131
|
1
|
2
|
56
|
9
|
Less value
|
10
|
5
|
143
|
7
|
300
|
468
|
5450
|
Highest value
|
The mean urea nitrogen in the blood was 29.05, with a deviation of 17.645, and the mean of urea nitrogen was 34.79, with a deviation of 29.391 [Table 6]
Table 6
urea
|
BUN
|
|
34.79
|
29.05
|
SMA
|
29.391
|
17.645
|
Standard deviation
|
10
|
5
|
Less value
|
170
|
85
|
Highest value
|
Moving on to the percentage of triglycerides, 56.6% of patients had a mild to moderate elevation (150-999 mg/dl) (2-10 mmol/L), and 43.3% had a severe to very severe elevation (>1000 mg/dl) (>10 mmol/L). According to the BISAP indicator, the mean was 1.40 with a deviation of 0.814. According to the BISAP warning indicator, the least likely to die from 0-2 points was 93.3%, and the group most likely to die from 3-5 points was 6.7% [Table 7] whereby 40% of the patients were classified as each of (1) and (2), and 13.3% were classified as (0).
Table 7
ratio
|
number
|
|
40
|
12
|
1
|
40
|
12
|
2
|
13.3
|
4
|
0
|
6.7
|
2
|
3
|
100
|
30
|
|
By studying the relationship between BISAP and age, gender, and habits There was no statistical relationship despite the indications provided by the study samples due to the small sample size in addition to the large distribution, where the P-value of the relationship between BISAP index and sex equals 0.676 [Table 8 ], and between BISEP index and age group equals 0.752 [Table 9], and between BISEP index and pathological antecedents It equals 0.550, the BISEP index and family history equals 0.097, the BISEP index and habits equals 0.570 [Table 10], the BISEP index and symptoms equals 0.643, and the BISEP index and triglycerides equals 0.569 [Table 11], all of which are greater than 0.005 and thus have no statistical relationship.
Table 8
Relationship between BISAP and gender.
number
|
BISAP Score
|
|
3
|
2
|
1
|
0
|
18
|
2
|
7
|
7
|
2
|
number
|
female
|
sex
|
60.0%
|
6.7%
|
23.3%
|
23.3%
|
6.7%
|
ratio
|
12
|
0
|
5
|
5
|
2
|
number
|
male
|
40.0%
|
0.0%
|
16.7%
|
16.7%
|
6.7%
|
ratio
|
30
|
2
|
12
|
12
|
4
|
number
|
The Total
|
100.0%
|
6.7%
|
40.0%
|
40.0%
|
13.3%
|
ratio
|
p-value = 0.676
|
Table 9
Relationship between BISAP and age.
The Total
|
BISAP Score
|
|
3
|
2
|
1
|
0
|
3
|
1
|
1
|
1
|
0
|
number
|
≥ 60
|
Age
|
10.0%
|
3.3%
|
3.3%
|
3.3%
|
0.0%
|
ratio
|
5
|
0
|
2
|
2
|
1
|
number
|
20–29
|
16.7%
|
0.0%
|
6.7%
|
6.7%
|
3.3%
|
ratio
|
4
|
0
|
2
|
1
|
1
|
number
|
30–39
|
13.3%
|
0.0%
|
6.7%
|
3.3%
|
3.3%
|
ratio
|
6
|
1
|
1
|
3
|
1
|
number
|
40–49
|
20.0%
|
3.3%
|
3.3%
|
10.0%
|
3.3%
|
ratio
|
12
|
0
|
6
|
5
|
1
|
number
|
50–59
|
40.0%
|
0.0%
|
20.0%
|
16.7%
|
3.3%
|
ratio
|
30
|
2
|
12
|
12
|
4
|
number
|
The Total
|
100.0%
|
6.7%
|
40.0%
|
40.0%
|
13.3%
|
ratio
|
p-value = 0.752
|
Table 10
Relationship between BISAP and habits.
The Total
|
BISAP Score
|
|
3
|
2
|
1
|
0
|
15
|
1
|
8
|
5
|
1
|
number
|
smoke
|
Habits
|
50.0%
|
3.3%
|
26.7%
|
16.7%
|
3.3%
|
ratio
|
2
|
0
|
0
|
1
|
1
|
number
|
Smoke&alcohol
|
6.7%
|
0.0%
|
0.0%
|
3.3%
|
3.3%
|
ratio
|
13
|
1
|
4
|
6
|
2
|
number
|
none
|
43.3%
|
3.3%
|
13.3%
|
20.0%
|
6.7%
|
ratio
|
30
|
2
|
12
|
12
|
4
|
number
|
The Total
|
100.0%
|
6.7%
|
40.0%
|
40.0%
|
13.3%
|
ratio
|
P-value = 0.570
|
Table 11
Relationship between BISAP and triglycerides.
The Total
|
BISAP Score
|
|
3
|
2
|
1
|
0
|
16
|
0
|
6
|
8
|
2
|
number
|
mild to moderate (150–999 mg/dl) (2–10 mmol/L)
|
Triglycerides
|
53.3%
|
0.0%
|
20.0%
|
26.7%
|
6.7%
|
ratio
|
1
|
0
|
1
|
0
|
0
|
number
|
Nothing
|
3.3%
|
0.0%
|
3.3%
|
0.0%
|
0.0%
|
ratio
|
13
|
2
|
5
|
4
|
2
|
number
|
severe to very severe (> 1000 mg/dl) (> 10 mmol/L)
|
43.3%
|
6.7%
|
16.7%
|
13.3%
|
6.7%
|
ratio
|
30
|
2
|
12
|
12
|
4
|
number
|
The Total
|
100.0%
|
6.7%
|
40.0%
|
40.0%
|
13.3%
|
ratio
|
p-value = 0.569
|