Study On The Predictive Value Of DeBanto Scoring System For The Severity Of Acute Pancreatitis In Children

Objective:Objective to compare the De Banto scoring system with Ranson’s,BISAP and MCTSI scoring systems to study the predictive value of Debanto scoring system on the severity of acute pancreatitis in children.Methods : The clinical data of 122 patients with AP admitted to Jiangxi Children’s Hospital from January 2018 to December 2020 were prospectively analyzed.Calculating De Banto,Ranson’s,BISAP and MCTSI scores,drawning receiver operating characteristic curve,and comparing the predictive value of each scoring system for SAP,local complications and systemic complications.Results:1.There were 122 patients,including 72 males(59.01%)and 50 females(40.98%),the ratio of males to females is 1.44 to 1,the average age was 8.16 ±3.60 years old,and the average length of hospital stay was 13.44±8.93 days.The study was divided into map group,MSAP group and SAP group,statistics showed that the age and length of hospital stay of different groups were statistically significant(P=0.005,P=0.000),and the gender composition of different groups had no significant(P = 0.881).2.The main causes of AP were infection in 36 cases(29.51%),idiopathic in 34cases(27.87%),biliary system diseases in 22 cases(18.03%),abdominal trauma in 13cases(10.66%),drugs in 11 cases(9.02%),diabetic ketoacidosis in 4 cases(3.28%),systemic diseases in 2 cases(1.64%).3.De Banto,Ranson’s,BISAP and MCTSI scores were significantly correlated with SAP(P=0.000).AUC values of each scoring system were higher in predicting SAP and systemic complications,and there was no significant difference between two scoring systems(P>0.05).In terms of forecasting SAP,the sensitivity,specificity,positive predictive value and negative predictive value of De Banto score were 77.3%,98.0%,89.5% and 4.9% respectively when debanto score was more than 3 points.The sensitivity and negative predictive value of De Banto score were not high(P>0.05).the specificity of De Banto score similar to that of Ranson’s score system,which was higher than the other two scoring systems(P<0.05),and the positive predictive value higher than the other three scoring systems(P<0.05).In the prediction of systemic complications,when De Banto score was more than 3,its sensitivity,specificity,positive predictive value and negative predictive value were54.5%,98.9%,89.5% and 15.5% respectively.Its sensitivity was lower.Its specificity was similar to that of BISAP scoring system,higher than the other two scoring systems.positive predictive value higher than that of the other three scoring systems(P<0.05),and negative predictive value lower(P<0.05).In the prediction of local complications,the AUC of De Banto and Ranson’s scoring system was lower(P>0.05),the AUC of MCTSI scoring system was higher than that of BISAP scoring system,and AUC value was 0.828 and 0.733 respectively.It’s have statistical significance(P<0.05).The specificity of BISAP scoring system was 90.0% higher than that of MCTSI(P<0.05).The sensitivity,positive predictive value and negative predictive value of the two scoring systems were not statistically significant(P>0.05).Conclusion : The De Banto score system had a critical value of ≥ 3 in predicting SAP,systemic and local complications in children.De Banto scoring system was consistent with the other three scoring systems in predicting sap and systemic complications in children.De Banto scoring system has a lower predictive value for local complications.