Glasgow Imrie Score Pancreatitis — FRCA Final MCQ

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EasyIntensive Care MedicineGlasgow Imrie Score PancreatitisFRCA Final

A 70-year-old man is admitted to ICU with acute pancreatitis. On day 2 he develops increasing oxygen requirements. His ABG on FiO2 0.6 shows PaO2 9.5 kPa. What tool is used to predict severity and mortality in acute pancreatitis in the first 48 hours of admission?

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Correct answer: B — Glasgow (Imrie) scoring system

The Glasgow (Imrie) scoring system is specifically designed for acute pancreatitis severity prediction within the first 48 hours. It uses 8 parameters: age >55, WCC >15, glucose >10, urea >16, PaO2 <8 kPa, calcium <2.0, albumin <32, LDH >600. A score ≥3 predicts severe pancreatitis. APACHE II is also used (score ≥8 = severe) but is a general ICU severity score. The revised Atlanta classification (2012) uses organ failure and local/systemic complications to classify severity. CT severity index (Balthazar) assesses pancreatic necrosis extent.

Reference: IAP/APA – 2013 – Acute pancreatitis guidelines; NICE – 2018 – NG104 Pancreatitis