Glasgow system for pancreatitis

First question...why not Ranson?
Answer: this was devised in America as a prognostic indicator in Alcohol related pancreatits

The Glasgow system is a simple prognostic system that uses the data collected during the first 48 hours following an admission for pancreatitis. The criteria for point assignment is that a certain breakpoint be met at anytime during that 48 hour period, so that in some situations it can be calculated shortly after admission. It is applicable to both biliary and alcoholic pancreatitis.

 

The original system used 9 data elements. This was subsequently modified to 8 data elements, with removal of assessment for transaminase levels (either AST (SGOT) or ALT (SGPT) greater than 100 U/L).

 

Parameters used:

(1) age in years>55years

(2) serum albumin<32mmol/l

(3) PaO2 on room air___

(4) serum calcium

(5) blood glucose

(6) serum LDH

(7) BUN

(8) WBC count

 

 

Interpretation:

• minimum score 0

• maximum score 8

• If the score >=3, severe pancreatitis likely.

• If the score < 3, severe pancreatitis is unlikely.

 

Blamey SL, Imrie CW, et al. Prognostic factors in acute pancreatitis. Gut. 1984; 25: 1340-1346.

Imrie CW, Benjamin IS, et al. A single-centre double-blind trial of Trasylol therapy in primary acute pancreatitis. Br J Surg. 1978; 65: 337-341.

Marshall JB. Acute pancreatitis. Arch Intern Med. 1993; 153: 1185-1198.

Osborne DH, Imrie CW, Carter DC. Biliary surgery in the same admission for gallstone-associated acute pancreatitis. Br J Surg. 1981; 68: 758-761.

Steinberg W, Tenner S. Acute pancreatitis. N Engl J Med. 1994; 330: 1198-1210.

Ventrucci M. Update on laboratory diagnosis and prognosis of acute pancreatitis. Dig Dis. 1993; 11: 189-196.