Decision Rule - Bedside Index of Severity in Acute Pancreatitis (BISAP) Score for Acute Pancreatitis

BISAP Score for Acute Pancreatitis

-BUN > 25 mg/dL (8.92 mmol/L)  . . . . . . . . . . . . . . . . . .  [No (0 points)/Yes (+1 point)]

-Impaired mental status   . . . . . . . . . . . . . . . . . . . . . . . .  [No (0 points)/Yes (+1 point)]

 Defined as disorientation, lethargy, somnolence, coma or stupor

-≥ SIRS Criteria  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  [No (0 points)/Yes (+1 point)]

-Age > 60 years   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  [No (0 points)/Yes (+1 point)]

-Pleural effusion present   . . . . . . . . . . . . . . . . . . . . . . .  [No (0 points)/Yes (+1 point)]

TOTAL = [##] points

Patients with a BISAP Score >0 had an increasing risk of mortality, with mortality increasing significantly with a score of 3 or greater.  A score of 5 had a mortality rate of 22%.

https://www.mdcalc.com/bisap-score-pancreatitis-mortality#creator-insights