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BISAP Score for Pancreatitis Mortality

<p>Mortality in pancreatitis.</p>

id

1735

full_title

BISAP Score for Pancreatitis Mortality

short_title

BISAP Score for Pancreatitis

med_description

Predicts mortality risk in pancreatitis with fewer variables than Ranson's.

description

The BISAP Score for Pancreatitis Mortality predicts mortality risk in pancreatitis with fewer variables than Ranson's.

keywords

BISAP Score for Pancreatitis Mortality, BISAP, BISAP score, bisap mortality, pancreatitis mortality score, bisap mortality score, bisap mortality calc, bisap calc, bisap pancreas score, bisap pancreas calc

complaint

[ "Abdominal Pain", "Vomiting" ]

formula

Addition of the selected points.

evidence

measurements

[]

information

Increasing BISAP scores also correlate with pancreatitis severity and risk of necrotic pancreatitis. The BISAP performed similarly to more extensive scores, like Ranson’s Criteria and APACHE-II.

refrences

{ "Clinical Practice Guidelines": [ { "href": "", "text": "" } ], "Manufacturer Website": [ { "href": "", "text": "" } ], "Original/Primary Reference": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/18519429", "text": "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;57(12):1698-703." } ], "Other References": [ { "href": "", "text": "" } ], "Outcomes": [ { "href": "", "text": "" } ], "Validation": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/19861954", "text": "Papachristou GI, Muddana V, Yadav D, et al. Comparison of BISAP, Ranson's, APACHE-II, and CTSI scores in predicting organ failure, complications, and mortality in acute pancreatitis. Am J Gastroenterol. 2010;105(2):435-41." }, { "href": "https://www.ncbi.nlm.nih.gov/pubmed/23282769", "text": "Gompertz M, Fernández L, Lara I, Miranda JP, Mancilla C, Berger Z. [Bedside index for severity in acute pancreatitis (BISAP) score as predictor of clinical outcome in acute pancreatitis: retrospective review of 128 patients]. Rev Med Chil. 2012;140(8):977-83." }, { "href": "https://pubmed.ncbi.nlm.nih.gov/23896955/", "text": "Tenner S, Baillie J, Dewitt J, Vege SS. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol. 2013;108(9):1400-15." } ], "Validations": [] }

pearls

usecase

The BISAP is a more-recent score than the older Ranson's Criteria, and does not require data points from 48 hours into a patient's hospital admission.

reasons

next_advice

Pain control and hydration are mainstays of pancreatitis management. Bowel rest was historically also used, but modern guidelines such as from the American College of Gastroenterology recommend early feeding in mild acute pancreatitis (Tenner 2013).

next_actions

next_management

Patients with atypical features or worsening clinical status may benefit from CT imaging and/or surgical consultation to assess for signs of necrotic pancreatitis or need for surgical intervention.

diseases

[ "Pancreatitis" ]

instructions

Data should be taken from the first 24 hours of the patient's evaluation.

published

2022-04-21T20:28:59.603Z

purpose

[ "Prognosis" ]

search_terms

[ "ranson" ]

seo

{ "keywords_en": "BISAP Score for Pancreatitis Mortality, BISAP, BISAP score, bisap mortality, pancreatitis mortality score, bisap mortality score, bisap mortality calc, bisap calc, bisap pancreas score, bisap pancreas calc", "meta_description_en": "The BISAP Score for Pancreatitis Mortality predicts mortality risk in pancreatitis with fewer variables than Ranson's." }

specialty

[ "Critical Care", "Emergency Medicine", "Gastroenterology", "Hospitalist Medicine", "Internal Medicine", "Surgery (General)" ]

departments

[ "Gastrointestinal" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 89, "short_title_en": "Ranson's Criteria", "slug": "ransons-criteria-pancreatitis-mortality" }, { "calcId": 1868, "short_title_en": "APACHE II Score", "slug": "apache-ii-score" }, { "calcId": 1096, "short_title_en": "SIRS & Sepsis Criteria", "slug": "sirs-sepsis-septic-shock-criteria" } ]

ismed

false

section

[ "whenToUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "gastroenterology" ]

cleaned_use

[ "The BISAP is a more-recent score than the older Ranson's Criteria, and does not require data points from 48 hours into a patient's hospital admission." ]

pub

true

BUN >25 mg/dL (8.92 mmol/L)
Impaired mental status
<calculator id='1096'>≥2 SIRS Criteria</calculator>
Age >60 years
Pleural effusion present