Predictive Scoring Systems in Acute Pancreatitis

  • Kavya M. Reddy
  • Bechien U. WuEmail author


Acute pancreatitis is a disease of increasing annual incidence and one that produces significant morbidity and mortality. The ability to predict which patients are at risk for complications is critical in ensuring appropriate management and development of prevention strategies. For this reason, many scores have been developed to predict the severity of acute pancreatitis. Most of the scores incorporate a variety of physiologic, laboratory, and radiological parameters. This chapter will summarize and compare the current prediction models for severe acute pancreatitis as well as measurement of specific routine laboratory tests. The relative advantages and disadvantages of each of these systems will be highlighted. The clinical scoring systems that will be discussed include the Ranson’s score, the Glasgow criteria (also known as the Imrie score), Acute Physiology and Chronic Health Examination (APACHE)-II, Systemic Inflammatory Response Syndrome (SIRS), Pancreatitis Outcome Prediction (POP), Bedside Index for Severity in Acute Pancreatitis (BISAP), the revised Japanese severity score (JSS), and Harmless Acute Pancreatitis Score (HAPS). Particular emphasis will be devoted to the application of these various scoring systems in the routine care of patients with acute pancreatitis.


Acute Pancreatitis Positive Predictive Value Negative Predictive Value Blood Urea Nitrogen Systemic Inflammatory Response Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Internal MedicineKaiser Permanente Los Angeles Medical CenterLos AngelesUSA
  2. 2.Department of Gastroenterology, Center for Pancreatic CareKaiser Permanente Los Angeles Medical CenterLos AngelesUSA

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