Wednesday, April 12, 2006

Simplified Glasgow score

Wednesday April 12, 2006
Simplified Glasgow score for the assessment of severe acute pancreatitis

There have been many scores/criterias proposed for the assessment of severe acute pancreatitis including but not limited to Ranson criteria, Glasgow score, Fan score (Hong-Kong criteria), CT-scan score. Although ranson criteria remained popular, glasgow score has been said to be more precise, which is as follows:

Finding at any time during initial 48 hours - give 1 point for each parameter.

age more than 55 years
serum albumin more than 3.2 g/dL
arterial pO2 on room air more than 60 mm Hg
serum calcium more than 8 mg/dL
blood glucose more than 180 mg/dL
serum LDH more than 600 U/L
serum urea nitrogen more than 45 mg/dL
WBC count more than 15,000/mm3

Total score more than / = 3 severe pancreatitis likely.
Total score less than / = 3 severe pancreatitis is unlikely.

Related Previous Pearl:
Evidence-based recommendations for Severe Acute Pancreatitis)

References: (click to get abstrat/article)

Assessment of severity of acute pancreatitis: a comparison between old and most recent modalities used to evaluate this perennial problem - World J Gastroenterol 1999; August 5(4):283-285
Predictive evaluation of acute necrotizing pancreatitis: results of a prospective study - Presse Med. 1995 Feb 4;24(5):263-6.
A simplified method for computed tomographic estimation of prognosis in acute pancreatitis - Scand J Gastroenterol. 2003 Apr;38(4):433-6.
Management of the critically ill patient with severe acute pancreatitis - Critical Care Medicine: Volume 32(12) December 2004 pp 2524-2536 . Sponsored by the American Thoracic (ATS), the European Respiratory Society (ERS), the European Society of Intensive Care Medicine (ESICM), the Society of Critical Care Medicine (SCCM) and the Société de Réanimation de Langue Française (SRLF).