BISAP_Score v.1

Stratifies the risk of acute pancreatitis complications within 24h of presentation.

Maryam Razavi

maryam.razavi@cambio.se

© Cambio CDS

To assess the risk of in-hospital mortality of patients with acute pancreatitis.

There are 5 items in the score: - Blood urea nitrogen (BUN) increase higher than 25 mg/dL (8.92 mmol/L); - Impaired mental status (disorientation, lethargy, coma); - More than 2 SIRS criteria met (Temperature >38°C, 100°C; HR>90; RR>20 or PaCO2 12k); - Age higher than 60; - Pleural effusion present. Each of the positive answers to the five questions in the score is awarded 1 point. Data should be taken from the first 24 hours of the patient's evaluation.

Wu BU, Johannes RS, Sun X, Tabak Y, Conwell DL, Banks PA. The early prediction of mortality in acute pancreatitis: a large population-based study. Gut. 2008 Dec;57(12):1698-703. doi: 10.1136/gut.2008.152702. Epub 2008 Jun 2. PMID: 18519429. Papachristou GI, Muddana V, Yadav D, O'Connell M, Sanders MK, Slivka A, Whitcomb DC. Comparison of BISAP, Ranson's, APACHE-II, and CTSI scores in predicting organ failure, complications, and mortality in acute pancreatitis. Am J Gastroenterol. 2010 Feb;105(2):435-41; quiz 442. doi: 10.1038/ajg.2009.622. Epub 2009 Oct 27. PMID: 19861954. Gao W, Yang HX, Ma CE. The Value of BISAP Score for Predicting Mortality and Severity in Acute Pancreatitis: A Systematic Review and Meta-Analysis. PLoS One. 2015 Jun 19;10(6):e0130412. doi: 10.1371/journal.pone.0130412. Erratum in: PLoS One. 2015;10(10):e0142025. PMID: 26091293; PMCID: PMC4474919.

openEHR-EHR-OBSERVATION.bisap, openEHR-EHR-EVALUATION.bisap_assessment