Bedside Index of Severity in Acute Pancreatitis
| Clinical factor | Score Yes = 1 point No = 0 points |
|---|---|
| Blood urea nitrogen > 25 mg/dL | |
| Abnormal mental status (Glasgow Coma Score < 15) | |
| Evidence of systemic inflammatory response | |
| syndromea | |
| Over age 60 | |
| Imaging tests showing pleural effusion | |
| Total pointsb |
↵a Requires at least 2 of the following: temperature < 36°C or > 38°C, respiratory rate > 20 breaths per minute or PaCO2 < 32 mm Hg, pulse > 90 beats per minute, and white blood cell count < 2.0 or > 12.0 × 109/L or > 10% immature bands.
↵b 0–2 points = low mortality risk (< 2%); ≥ 3 points = high mortality risk (> 15%).
Repinted from Hagjer S, Kumar N. Evaluation of the BISAP scoring system in prognostication of acute pancreatitis—A prospective observational study. Int J Surg 2018; 54(Pt A):76–81 doi:10.1016/j.ijsu.2018.04.026 with permission from Elsevier. https://www.journals.elsevier.com/international-journal-of-surgery