Acute Pancreatitis Risk Accessment

Different Scoring Systems for Acute Pancreatitis

Ranson Criteria for Acute Pancreatitis

Admission Criteria

Age (>55 years) WBC (>16000) Glucose (>200 mg/dL) AST (>250 IU/L) LDH (>350 IU/L)

48-Hour Criteria

Calcium (<8 mg/dL) Hematocrit Fall (>10%) PaO₂ (<60 mmHg) BUN Increase (>5 mg/dL) Base Deficit (>4 mEq/L) Fluid Sequestration (>6 L)

Individual Score:

≥ 3 : Severe Acute Pancreatitis

< 3 : Severe Pancreatitis is unlikely, correlate clinically with your investigations

Total Score (Admission as well as 48 hour criteria) Mortality Prediction

Score Predicted Mortality

0 to 2 2% mortality

3 to 4 15% mortality

5 to 6 40% mortality

7 to 8 100% mortality

Score	Predicted Mortality
0 to 2	2% mortality
3 to 4	15% mortality
5 to 6	40% mortality
7 to 8	100% mortality

BISAP Score Calculator

BUN (>25 mg/dL) Impaired Mental Status Age (>60 years) Pleural Effusion
SIRS Criteria (Any ≥2 = 1 point)
Temperature (°C) Temperature (°F) Heart Rate (>90 bpm) Respiratory Rate (>20/min) PaCO₂ (<32 mmHg) WBC (>12000 or <4000 OR >10% bands) Immature Cells (>10%)

BISAP Score Mortality Prediction

BISAP Score Mortality Risk

0 to 2 Points Lower mortality less than 2 percent

3 to 5 Points Higher mortality greater than 15 percent

Patients with a score of 3 or greater have a significantly increasing risk of mortality.

qSOFA Score Calculator

Respiratory Rate (≥22/min) Systolic BP (≤100 mmHg) GCS (≤13)

qSOFA Score Interpretation and Action

A qSOFA score of 2 or higher signals high risk, linked to a 3- to 14-fold increase in mortality.

Action for High Risk (qSOFA 2 or greater):

Check for organ dysfunction with blood tests like serum lactate.

Calculate the full SOFA score for a comprehensive assessment.

Action for Low Risk (qSOFA less than 2):

If sepsis is suspected despite a low qSOFA, continue monitoring closely.

Reassess regularly to guide treatment.

This process ensures timely detection and management of worsening condition.

Here are some clinical tool in the form of scoring systems used to assess a patient's risk of developing severe complications or mortality from an episode of acute pancreatitis.

Early, accurate risk stratification allows a Physician to decide whether a patient requires routine in patient care or prompt transfer to an intensive care unit (ICU).

By instantly calculating these scores, the tool facilitates a standardized approach to acess severity of Acute Pancreatitis , allowing

➟ rapid and aggressive supportive therapy
➟ fluid resuscitation
➟ pain control
➟ timely transfer to a higher settings

⚠️ Disclaimer

The scores calculation is a decision support tool for healthcare professionals. It should never replace overall comprehensive patient assessment or the clinical judgment of a qualified doctor.