Kim et al reported two scores for the diagnosis of severe cholecystitis. One is a simple clinical score that is described as quick and dirty. The authors are from The Catholic University of Korea.
Outcome: severe cholecystitis
Parameters:
(1) pericholecystic fluid collection on imaging studies
(2) admission route
(3) white blood cell count
(4) gallbladder wall thickness in mm on imaging studies
(5) sex
Parameter
Finding
Points
pericholecystic fluid
absent
0
present
1
admission route
elective
0
emergency department
1
white blood cell count
< 10,000 per µL
0
>= 10,000 per µL
1
gallbladder wall thickness
< 4 mm
0
>= 4 mm
1
sex
female
0
male
1
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
Score
Risk
Percent Severe Cholecystitis
0 or 1
low
4.8%
2 or 3
intermediate
24.7%
4 or 5
high
56.1%
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