Glasgow_Pancreatitis_score v.1
An assessment score used to assess the severity of pancreatitis within 48 hours from admission.
To calculate Glasgow pancreatitis score and thereby assess the severity of pancreatitis within 48 hours from admission.
Formula: Addition of selected points. The 8 severity risk factors accounted for in the score are: - Age >55 years; - Serum albumin <32 g/L (3.2 g/dL); - Arterial PO2 on room air <8 kPa (60 mmHg); - Serum calcium <2 mmols/L (8 mg/dL); - Blood glucose >10.0 mmols/L (180 mg/dL); - Serum LDH >600 units/L; - Serum urea nitrogen >16.1 mmols/L (45 mg/dL); - WBC count >15 x 109/L (15 x 103/microlitre). Interpretation: The table below introduces the correlation between scores and mortality risk: Glasgow pancreatitis score & Predicted mortality 0 - 2: 2% 3 - 4: 15% 5 - 6: 40% 7 - 8: 100%
Blamey SL, Imrie CW, O'Neill J, Gilmour WH, Carter DC. Prognostic factors in acute pancreatitis. Gut. 1984 Dec;25(12):1340-6. doi: 10.1136/gut.25.12.1340. PMID: 6510766; PMCID: PMC1420197. Mounzer R, Langmead CJ, Wu BU, Evans AC, Bishehsari F, Muddana V, Singh VK, Slivka A, Whitcomb DC, Yadav D, Banks PA, Papachristou GI. Comparison of existing clinical scoring systems to predict persistent organ failure in patients with acute pancreatitis. Gastroenterology. 2012 Jun;142(7):1476-82; quiz e15-6. doi: 10.1053/j.gastro.2012.03.005. Epub 2012 Mar 13. PMID: 22425589. Taylor SL, Morgan DL, Denson KD, Lane MM, Pennington LR. A comparison of the Ranson, Glasgow, and APACHE II scoring systems to a multiple organ system score in predicting patient outcome in pancreatitis. Am J Surg. 2005 Feb;189(2):219-22. doi: 10.1016/j.amjsurg.2004.11.010. PMID: 15720995. Meek K, Toosie K, Stabile BE, Elbassir M, Murrell Z, Lewis RJ, Chang L, de Virgilio C. Simplified admission criterion for predicting severe complications of gallstone pancreatitis. Arch Surg. 2000 Sep;135(9):1048-52; discussion 1052-4. doi: 10.1001/archsurg.135.9.1048. PMID: 10982509.
OBSERVATION.glasgow_pancreatitis.v0
