{"id":3930,"date":"2026-10-14T10:31:25","date_gmt":"2026-10-14T09:31:25","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/tisbi\/bisap-skoru-hesaplama\/"},"modified":"2026-10-14T10:31:25","modified_gmt":"2026-10-14T09:31:25","slug":"bisap-skoru-hesaplama","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/bisap-skoru-hesaplama\/","title":{"rendered":"BISAP Skoru Hesaplama"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">Akut pankreatit ciddiyetini BISAP puan\u0131 ile de\u011ferlendirin<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"3930\" data-favorite-title=\"BISAP Skoru\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/bisap-skoru-hesaplama\/\" data-favorite-excerpt=\"Akut pankreatitte BISAP skorunu saniyeler i\u00e7inde hesaplay\u0131n. Ba\u015fvuru an\u0131ndaki BUN, bilin\u00e7 durumu, SIRS kriterleri, ya\u015f ve plevral ef\u00fczyon bilgisini girerek hastal\u0131\u011f\u0131n \u015fiddetini ve mortalite riskini tahmin edin.\" aria-label=\"Favorilere ekle\" data-favorite-icon=\"icon icon-flask\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/tr\/tisbi\/bisap-skoru-hesaplama\/\" method=\"POST\" class=\"calculator\" id=\"calculator-3930\" data-post=\"3930\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"field has-term\" id=\"input-1\"><label for=\"field-1\">Kan \u00fcre azotu (BUN)<\/label><div class=\"term\">B<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"kan_re_azotu_bun\" id=\"field-1\" aria-describedby=\"calc-unit-1 calc-info-1\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 25\" min=\"1\" max=\"300\" value=\"32\"\/><div class=\"unit\" id=\"calc-unit-1\">mg\/dL<\/div><small id=\"calc-info-1\">Ba\u015fvuru an\u0131ndaki serum BUN de\u011feri; BUN &gt; 25 mg\/dL oldu\u011funda BISAP kriteri kar\u015f\u0131lan\u0131r<\/small><\/div><div class=\"field\" id=\"input-2\"><label for=\"field-2\">Bilin\u00e7 durumu<\/label><div class=\"grid grid-cols-1\"><select id=\"field-2\" name=\"bilin_durumu\"><option value=\"Alert and oriented\">Uyan\u0131k ve oryante<\/option><option value=\"Impaired (confused, drowsy or obtunded)\">Bozuk (konf\u00fcz, sersemlemi\u015f veya letarjik)<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field\" id=\"input-3\"><label for=\"field-3\">SIRS (sistemik inflamatuar yan\u0131t sendromu)<\/label><div class=\"grid grid-cols-1\"><select id=\"field-3\" name=\"sirs_sistemik_inflamatuar_yant_sendromu\"><option value=\"Absent (0\u20131 criteria)\">Yok (0\u20131 kriter)<\/option><option value=\"Present (2 or more criteria)\">Var (2 veya daha fazla kriter)<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field has-term\" id=\"input-4\"><label for=\"field-4\">Ya\u015f<\/label><div class=\"term\">A<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"ya\" id=\"field-4\" aria-describedby=\"calc-unit-4 calc-info-4\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 55\" min=\"18\" max=\"120\" value=\"62\"\/><div class=\"unit\" id=\"calc-unit-4\">y\u0131l<\/div><small id=\"calc-info-4\">Ya\u015f 55&#039;ten b\u00fcy\u00fck oldu\u011funda BISAP kriteri kar\u015f\u0131lan\u0131r<\/small><\/div><div class=\"field\" id=\"input-5\"><label for=\"field-5\">Plevral ef\u00fczyon<\/label><div class=\"grid grid-cols-1\"><select id=\"field-5\" name=\"plevral_efzyon\"><option value=\"Absent\">Yok<\/option><option value=\"Present\">Var<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"3930\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> BISAP sonucunuz<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>BISAP puan\u0131<\/span><span class=\"result-term\">BISAP<\/span><\/span><span class=\"field-value\" id=\"result-1\" data-unit=\"puan\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-2\"><span class=\"field-title\"><span>Risk kategorisi<\/span><span class=\"result-term\">Risk<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-3\"><span class=\"field-title\"><span>Puan\u0131n\u0131z\u0131n anlam\u0131<\/span><\/span><span class=\"field-value\" id=\"result-3\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Yorum b\u0131rak<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"3930\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Be\u011fendim <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Faydal\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Kafam kar\u0131\u015ft\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Hatal\u0131 <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>BISAP Skoru Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{BISAP} = [\\text{BUN} &gt; 25\\ \\text{mg\/dL}] + [\\text{bilin\u00e7 bozulmas\u0131}] + [\\text{SIRS} \\ge 2] + [\\text{ya\u015f} &gt; 55] + [\\text{plevral ef\u00fczyon}] \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Burada:<\/strong><\/p>\n<ul>\n<li>\\(\\text{BUN}\\) \u2014 ba\u015fvuru an\u0131nda \u00f6l\u00e7\u00fclen kan \u00fcre azotu (mg\/dL); kriter, BUN &gt; 25 mg\/dL oldu\u011funda kar\u015f\u0131lan\u0131r<\/li>\n<li>Bilin\u00e7 bozulmas\u0131 \u2014 bilin\u00e7te herhangi bir akut de\u011fi\u015fiklik (konf\u00fczyon, somnolans, obtundasyon)<\/li>\n<li>SIRS \u2014 sistemik inflamatuar yan\u0131t sendromu; \u015funlardan en az 2'si mevcut olmal\u0131: v\u00fccut s\u0131cakl\u0131\u011f\u0131 &lt; 36 \u00b0C veya &gt; 38 \u00b0C, kalp h\u0131z\u0131 &gt; 90\/dk, solunum h\u0131z\u0131 &gt; 20\/dk veya PaCO\u2082 &lt; 32 mmHg, l\u00f6kosit say\u0131s\u0131 &lt; 4 veya &gt; 12 \u00d7 10\u2079\/L (veya &gt; %10 \u00e7omak h\u00fccresi)<\/li>\n<li>Ya\u015f \u2014 kriter, ya\u015f 55'ten b\u00fcy\u00fck oldu\u011funda kar\u015f\u0131lan\u0131r<\/li>\n<li>Plevral ef\u00fczyon \u2014 ba\u015fvuru an\u0131ndaki g\u00f6\u011f\u00fcs g\u00f6r\u00fcnt\u00fclemesinde mevcut (tipik olarak sol tarafl\u0131)<\/li>\n<\/ul>\n<p>K\u00f6\u015feli parantez i\u00e7indeki her kriter kar\u015f\u0131lan\u0131rsa 1, kar\u015f\u0131lanmazsa 0 puan de\u011ferindedir; dolay\u0131s\u0131yla toplam BISAP skoru 0 ile 5 aras\u0131nda de\u011fi\u015fir. Skor, Wu ve ark. (2008) taraf\u0131ndan, yat\u0131\u015f\u0131n ilk 24 saatinde akut pankreatit kaynakl\u0131 mortaliteyi \u00f6ng\u00f6rmek amac\u0131yla basit bir yatak ba\u015f\u0131 arac\u0131 olarak geli\u015ftirilmi\u015ftir.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>BISAP Skoru \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> 62 ya\u015f\u0131nda bir hasta akut pankreatit nedeniyle yat\u0131r\u0131l\u0131yor. Ba\u015fvurudaki BUN de\u011feri 32 mg\/dL, hastan\u0131n bilinci a\u00e7\u0131k ve kooperasyonu tam, iki SIRS kriteri mevcut ve akci\u011fer grafisinde plevral ef\u00fczyon g\u00f6r\u00fclm\u00fcyor.<\/p>\n<p>\\[ \\begin{aligned} \\text{B} &amp;= [32 &gt; 25] = 1 \\\\ \\text{I} &amp;= [\\text{bilin\u00e7 a\u00e7\u0131k}] = 0 \\\\ \\text{S} &amp;= [\\text{SIRS} \\ge 2] = 1 \\\\ \\text{A} &amp;= [62 &gt; 55] = 1 \\\\ \\text{P} &amp;= [\\text{ef\u00fczyon yok}] = 0 \\end{aligned} \\]<\/p>\n<p>\\[ \\text{BISAP} = 1 + 0 + 1 + 1 + 0 = 3 \\text{ puan} \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> BISAP skoru = 3 puan \u2014 y\u00fcksek risk (3\u20135). Bu, orijinal do\u011frulama \u00e7al\u0131\u015fmas\u0131nda yakla\u015f\u0131k %3\u20138'lik yat\u0131\u015f i\u00e7i mortalite riskine kar\u015f\u0131l\u0131k gelir ve yo\u011fun izlem gerektirir.<\/p>\n<p>\n\r\n<\/section>\n<h2>BISAP skor hesaplama arac\u0131 nas\u0131l kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li>Ba\u015fvuru kan panelindeki <strong>kan \u00fcre azotu (BUN)<\/strong> de\u011ferini mg\/dL cinsinden girin. Kriter yaln\u0131zca BUN 25 mg\/dL'yi a\u015ft\u0131\u011f\u0131nda kar\u015f\u0131lan\u0131r.<\/li>\n<li>Hastan\u0131n ba\u015fvuru an\u0131ndaki durumunu en iyi tan\u0131mlayan <strong>bilin\u00e7 durumunu<\/strong> se\u00e7in: \u201cBilin\u00e7 a\u00e7\u0131k ve kooperasyon tam\u201d ya da \u201cBozulmu\u015f (konf\u00fczyon, somnolans veya obtundasyon)\u201d.<\/li>\n<li><strong>SIRS<\/strong>'in mevcut olup olmad\u0131\u011f\u0131n\u0131 belirleyin. Alan a\u00e7\u0131klamas\u0131nda listelenen kriterleri say\u0131n (v\u00fccut s\u0131cakl\u0131\u011f\u0131, kalp h\u0131z\u0131, solunum h\u0131z\u0131 veya PaCO\u2082, l\u00f6kosit say\u0131s\u0131); en az ikisi kar\u015f\u0131lan\u0131yorsa \u201cMevcut (2 veya daha fazla kriter)\u201d se\u00e7ene\u011fini i\u015faretleyin.<\/li>\n<li>Hastan\u0131n <strong>ya\u015f\u0131n\u0131<\/strong> y\u0131l cinsinden girin. Kriter, ya\u015f 55'in \u00fczerinde oldu\u011funda kar\u015f\u0131lan\u0131r.<\/li>\n<li>Ba\u015fvuru an\u0131ndaki g\u00f6\u011f\u00fcs g\u00f6r\u00fcnt\u00fclemesinde <strong>plevral ef\u00fczyon<\/strong> g\u00f6r\u00fcl\u00fcp g\u00f6r\u00fclmedi\u011fini se\u00e7in.<\/li>\n<li>Sonu\u00e7lar\u0131 okuyun: toplam <strong>BISAP skoru<\/strong> (0\u20135), <strong>risk kategorisi<\/strong> ve hangi kriterlerin kar\u015f\u0131land\u0131\u011f\u0131n\u0131 g\u00f6steren d\u00f6k\u00fcml\u00fc bir de\u011ferlendirme.<\/li>\n<\/ol>\n<h2>BISAP skoru nedir?<\/h2>\n<p>BISAP (Blood urea nitrogen, Impaired mental status, Systemic inflammatory response syndrome, Age, Pleural effusion \u2014 kan \u00fcre azotu, bilin\u00e7 bozulmas\u0131, sistemik inflamatuar yan\u0131t sendromu, ya\u015f, plevral ef\u00fczyon), <strong>akut pankreatitin<\/strong> \u015fiddetini hastaneye yat\u0131\u015f\u0131n erken d\u00f6neminde s\u0131n\u0131fland\u0131rmak i\u00e7in kullan\u0131lan be\u015f puanl\u0131k bir klinik skorlama sistemidir. \u00c7ok say\u0131da laboratuvar de\u011feri ya da 48 saat boyunca tekrarlanan \u00f6l\u00e7\u00fcmler gerektiren Ranson kriterleri ve APACHE II gibi eski sistemlere g\u00f6re daha basit bir alternatif olarak tasarlanm\u0131\u015ft\u0131r. Be\u015f BISAP de\u011fi\u015fkeninin tamam\u0131 yat\u0131\u015ftan sonraki ilk 24 saat i\u00e7inde \u2014 \u00e7o\u011fu zaman hemen yatak ba\u015f\u0131nda \u2014 elimizin alt\u0131nda oldu\u011fu i\u00e7in skor h\u0131zl\u0131 triyaj kararlar\u0131 vermemizi sa\u011flar.<\/p>\n<p>Bu skorun \u00f6nemli olmas\u0131n\u0131n nedeni, akut pankreatitin seyrinin ki\u015fiden ki\u015fiye b\u00fcy\u00fck farkl\u0131l\u0131k g\u00f6stermesidir: hastalar\u0131n \u00e7o\u011fu destek tedavisiyle iyile\u015fir, ancak bir az\u0131nl\u0131kta organ yetmezli\u011fi, pankreatik nekroz, sepsis veya \u00f6l\u00fcmle sonu\u00e7lanan a\u011f\u0131r hastal\u0131k geli\u015fir. Y\u00fcksek riskli hastalar\u0131n erken tan\u0131nmas\u0131; izlemin s\u0131kla\u015ft\u0131r\u0131lmas\u0131n\u0131, agresif s\u0131v\u0131 res\u00fcsitasyonuna ba\u015flanmas\u0131n\u0131, yo\u011fun bak\u0131m yat\u0131\u015f\u0131n\u0131n de\u011ferlendirilmesini ve uzmanlar\u0131n daha erken devreye sokulmas\u0131n\u0131 sa\u011flar. Bu y\u00fczden BISAP, uluslararas\u0131 pankreatit k\u0131lavuzlar\u0131na dahil edilmi\u015ftir.<\/p>\n<p>Yorumlamas\u0131 olduk\u00e7a basittir. 0\u20131 puan d\u00fc\u015f\u00fck riski g\u00f6sterir (orijinal \u00e7al\u0131\u015fmada mortalite %1'in olduk\u00e7a alt\u0131nda), 2 puan ara risklidir (yakla\u015f\u0131k %1\u20132 mortalite) ve risk her puanla artar; 3\u20135 puan ise y\u00fcksek risk grubudur: 3 puan\u0131nda mortalite yakla\u015f\u0131k %3\u20138, 4\u20135 puan\u0131nda %11 ve \u00fczeri d\u00fczeydedir. Y\u00fcksek skorlar ayr\u0131ca organ yetmezli\u011fi, yo\u011fun bak\u0131m yat\u0131\u015f\u0131 ve pankreatik nekroz oranlar\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 da \u00f6ng\u00f6r\u00fcr. Skor, tek bir kesim noktas\u0131 de\u011fil s\u00fcrekli bir risk gradyan\u0131 olarak de\u011ferlendirilmelidir \u2014 her ek puan prognozu k\u00f6t\u00fcle\u015ftirir.<\/p>\n<h2>Varsay\u0131mlar, s\u0131n\u0131rl\u0131l\u0131klar ve pratik ipu\u00e7lar\u0131<\/h2>\n<ul>\n<li><strong>Zamanlama:<\/strong> BISAP, yat\u0131\u015ftan sonraki ilk 24 saat i\u00e7inde toplanan verilerle do\u011frulanm\u0131\u015ft\u0131r. Tedavi ba\u015flad\u0131ktan sonra, daha ge\u00e7 bir d\u00f6nemde uygulanmas\u0131 do\u011frulu\u011funu azalt\u0131r.<\/li>\n<li><strong>Birimler:<\/strong> BUN mg\/dL cinsinden girilmelidir. Laboratuvar\u0131n\u0131z \u00fcreyi mmol\/L veya \u00b5mol\/L olarak raporluyorsa \u00f6nce d\u00f6n\u00fc\u015ft\u00fcrme yap\u0131n (mmol\/L cinsinden \u00fcre \u00d7 2,14 \u2248 mg\/dL cinsinden BUN; \u00b5mol\/L de\u011ferlerini 2,14'e b\u00f6lerek mg\/dL kar\u015f\u0131l\u0131\u011f\u0131n\u0131 bulun).<\/li>\n<li><strong>Tan\u0131 arac\u0131 de\u011fildir:<\/strong> BISAP komplikasyon olas\u0131l\u0131\u011f\u0131n\u0131 tahmin eder; tek ba\u015f\u0131na pankreatit tan\u0131s\u0131 veya \u015fiddetinin belirlenmesi i\u00e7in kullan\u0131lamaz. Akut pankreatit tan\u0131s\u0131, karakteristik kar\u0131n a\u011fr\u0131s\u0131na ek olarak lipaz\/amilaz y\u00fcksekli\u011fi veya g\u00f6r\u00fcnt\u00fcleme bulgular\u0131na dayan\u0131r.<\/li>\n<li><strong>Etiyoloji ve komorbiditeler dahil de\u011fildir:<\/strong> obezite, etiyoloji (\u00f6rn. hipertrigliseridemi), temel b\u00f6brek fonksiyonu ve e\u015flik eden hastal\u0131klar gibi sonucu etkileyen fakt\u00f6rler be\u015f kriter taraf\u0131ndan yakalanmaz.<\/li>\n<li><strong>Dinamik yeniden de\u011ferlendirme:<\/strong> S\u0131v\u0131 tedavisine ra\u011fmen ilk 48 saatte BUN'\u0131n \u0131srarla y\u00fckselmeye devam etmesi ba\u015fl\u0131 ba\u015f\u0131na olumsuz bir prognostik i\u015farettir; klinik de\u011ferlendirmenin tekrarlanmas\u0131 her zaman zorunludur.<\/li>\n<li><strong>Klinik yarg\u0131 \u00f6nceliklidir:<\/strong> BISAP dahil hi\u00e7bir ara\u00e7, tedaviyi y\u00fcr\u00fcyen hekimin de\u011ferlendirmesinin yerine ge\u00e7memeli; ancak ona yard\u0131mc\u0131 olmal\u0131d\u0131r.<\/li>\n<\/ul>\n<p>Benzer yatak ba\u015f\u0131 risk skorlar\u0131 i\u00e7in sepsis taramas\u0131nda <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/qsofa-skor-hesaplayici\/\">qSOFA Skoru Hesaplama Arac\u0131<\/a>'m\u0131za, pn\u00f6moni \u015fiddeti i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/curb-65-skor-hesaplama\/\">CURB-65 Skoru Hesaplama Arac\u0131<\/a>'m\u0131za veya bilin\u00e7 durumunun yap\u0131land\u0131r\u0131lm\u0131\u015f de\u011ferlendirmesi i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/glasgow-koma-skalasi-hesaplama\/\">Glasgow Koma Skalas\u0131 Hesaplama Arac\u0131<\/a>'m\u0131za bakabilirsiniz. BISAP skoru yaln\u0131zca bilgilendirme ama\u00e7l\u0131d\u0131r ve profesyonel t\u0131bbi tavsiyenin yerine ge\u00e7mez.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Akut pankreatitte BISAP skorunu saniyeler i\u00e7inde hesaplay\u0131n. Ba\u015fvuru an\u0131ndaki BUN, bilin\u00e7 durumu, SIRS kriterleri, ya\u015f ve plevral ef\u00fczyon bilgisini girerek hastal\u0131\u011f\u0131n \u015fiddetini ve mortalite riskini tahmin edin.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[33],"class_list":["post-3930","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3930","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=3930"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3930\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=3930"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=3930"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=3930"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}