Burch-Wartofsky point scale (thyroid storm)
Burch-Wartofsky Point Scale for thyroid storm (Burch 1993).
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Temperature points
- 15
- CNS effects points
- 10
- GI-hepatic points
- 10
- Tachycardia points
- 15
- Congestive heart failure points
- 5
- Atrial fibrillation
- Yes
- Precipitant history
- Yes
Result: Total 75 (>=45, highly suggestive of thyroid storm).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- <25
- Thyroid storm unlikely.
- 25-44
- Suggestive of impending thyroid storm.
- >=45
- Highly suggestive of thyroid storm.
What you enter
- Temperature points (0-30)
- CNS effects points (0-30)
- GI-hepatic points (0-20)
- Tachycardia points (0-25)
- Congestive heart failure points (0-15)
- Atrial fibrillation (10)
- Precipitant history (10)
How this is calculated
Burch HB, Wartofsky L. Endocrinol Metab Clin North Am. 1993;22(2):263-277. Bands: <25 unlikely, 25-44 impending, >=45 highly suggestive of thyroid storm. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.