Glasgow-Imrie criteria for acute pancreatitis

Severity of acute pancreatitis within 48 hours (PANCREAS mnemonic).

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Inputs

PaO₂ below 60 mmHg (8 kPa)
Age above 55
Neutrophils or WBC above 15 × 10⁹/L
Calcium below 8 mg/dL (2 mmol/L)
Urea above 45 mg/dL BUN (16 mmol/L)
LDH above 600 IU/L
Albumin below 3.2 g/dL
Glucose above 180 mg/dL (10 mmol/L)

Worked calculation

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  1. Points
    Nonepresent
    =0
When to use
  • Acute pancreatitis, within 48 hours.
Pearls and pitfalls
  • 3 or more indicates severe pancreatitis; consider high-dependency care.
Why use

Common in UK practice.

CriterionPoints
PaO₂ below 60 mmHg (8 kPa)+1
Age above 55+1
Neutrophils or WBC above 15 × 10⁹/L+1
Calcium below 8 mg/dL (2 mmol/L)+1
Urea above 45 mg/dL BUN (16 mmol/L)+1
LDH above 600 IU/L+1
Albumin below 3.2 g/dL+1
Glucose above 180 mg/dL (10 mmol/L)+1

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