Burch-Wartofsky Point Scale for thyroid storm (BWPS)
Temperature, °C [°F]
< 37.2 [< 99]
37.2-37.7 [99-99.9]
37.8-38.2 [100-100.9]
38.3-38.8 [101-101.9]
38.9-39.2 [102-102.9]
39.3-39.9 [103-103.9]
≥ 40.0 [≥ 104.0]
HR, bpm
< 90
90-109
110-119
120-129
130-139
≥ 140
Congestive HF
Absent
Mild
Moderate
Severe
AF
Yes
No
CNS disturbance
Absent
Mild: agitation
Moderate: delirium, psychosis, extreme lethargy
Severe: seizure, coma
Gastrointestinal-hepatic dysfunction
Absent
Moderate
Severe
Precipitating event
Yes
No
Please complete all sections.
Reference
Alessandro Bacuzzi, Gianlorenzo Dionigi, Luca Guzzetti et al. Predictive features associated with thyrotoxic storm and management. Gland Surg. 2017 Oct; 6(5): 546–551.
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