Gastroenterology Book

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Modified Glasgow Severity Criteria for Pancreatitis

Aka: Modified Glasgow Severity Criteria for Pancreatitis, Imrie Scoring System for Pancreatitis, PANCREAS Score
  1. See Also
    1. Acute Pancreatitis
    2. Ranson Criteria
    3. BALI Score
    4. BISAP Score
    5. Revised Atlanta Criteria for Acute Pancreatitis Severity
    6. CT Severity Index in Pancreatitis (Balthazar Computed Tomography Severity Index)
    7. Acute Physiology and Chronic Health Evaluation II (APACHE II Score)
  2. Indications
    1. Evaluation of acute Pancreatitis Prognosis and severity in first 48 hours of admission
  3. Criteria
    1. Arterial oxygen partial pressure < 60 mmHg (8.0 kPa)
    2. Age > 55 years
    3. White Blood Cell Count >15 x10^3/mm3
    4. Serum Calcium <8.0 mg/dl (2.0 mmol/L)
    5. Blood Urea Nitrogen 44 mg/dl (16 mmol/L)
    6. Blood Glucose >180 mg/dl (10 mmol/L)
    7. Serum Albumin <3.2 g/dl (32 g/L)
    8. Lactate Dehydrogenase > (600 IU/L)
  4. Criteria: Mnemonic Pancreas
    1. Pa02 decreased
    2. Age increased
    3. Neutrophilia
    4. Calcium decreased
    5. Renal Urea increased
    6. Enzymes (Lactate Dehydrogenase) increased
    7. Albumin low
    8. Sugar Glucose increased
  5. Interpretation
    1. Severe Pancreatitis
      1. More than 3 criteria present within first 48 hours of presentation
  6. References
    1. Barreto (2007) World J Emerg Surg 2: 33 [PubMed]
    2. Moore (2000) Ann R Coll Surg Engl 82(1): 16-7 [PubMed]

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