Gastroenterology Education and CPD for trainees and specialists » Modified Glasgow Acute Pancreatitis Severity Score

The presence of three or more of these criteria within the first 48 hours is indicative of severe pancreatitis.

If the score ≥ 3, severe pancreatitis likely- suggest refer to HDU/ICU and if the score < 3, severe pancreatitis is unlikely.

In terms of mortality-

Score 0 to 2: 2% mortality

Score 3 to 4: 15% mortality

Score 5 to 6: 40% mortality

Score 7 to 8: 100% mortality

PaO2 <60mmHg PaO2< 7.9kPa	Yes +1
Age > 55 years Age > 55 years	Yes +1
Neutrophils (WBC > 15) Neutrophils (WBC > 15)	Yes +1
Calcium < 2 mmol/L Calcium < 2 mmol/L	Yes +1
Renal function: Urea > 16 mmol/L Renal function: Urea > 16 mmol/L	Yes +1
Enzymes LDH > 600IU/L , AST > 200IU/L Enzymes LDH > 600IU/L	Yes +1
Albumin < 32g/L (serum) Albumin < 32g/L (serum)	Yes +1
Sugar (blood glucose) > 10 mmol/L Sugar (blood glucose) > 10 mmol/L	Yes +1
Score
The presence of three or more of these criteria within the first 48 hours is indicative of severe pancreatitis. If the score ≥ 3, severe pancreatitis likely- suggest refer to HDU/ICU and if the score < 3, severe pancreatitis is unlikely. In terms of mortality- Score 0 to 2: 2% mortality Score 3 to 4: 15% mortality Score 5 to 6: 40% mortality Score 7 to 8: 100% mortality Adapted from: Corfield, AP, Williamson, RCN, McMahon, MJ, et al, Lancet 1985; 24:403.

Gastroenterology training and education