🫁 Modified Marshall Score (Pancreatitis Organ Failure)
UseWhen to use: acute pancreatitis when assessing organ failure and Atlanta severity class.
StrataNo OF → mild (if no local complications). Transient OF → moderately severe. Persistent OF → severe.
LimitsWhen not to use: as the only severity tool without imaging/clinical c… · Pitfall: scoring chronic dialysis patients without baseline adjustmen… · Pair with BISAP/CTSI when relevant.
SourceBanks PA et al. Gut 2013 (revised Atlanta)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
≥2 any system = OF.
When to use
When to use: acute pancreatitis when assessing organ failure and Atlanta severity class.
How it works
Each system 0–4; any ≥2 = organ failure. Persistent ≥48 h OF = severe AP.
Key points
- ≥2 any system = OF.
- Persistence defines severe.
- Next: BISAP / CTSI / Ranson.
References
- Banks PA et al. Gut 2013 (revised Atlanta)
- Marshall JC et al. Crit Care Med 1995 (modified Marshall)
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Respiratory: PaO₂/FiO₂ ratio | 201–300 (2) |
|---|---|
| Renal: serum creatinine (mg/dL) — off chronic dialysis baseline | 1.9–3.5 (2) |
| Cardiovascular: systolic BP / shock | SBP <90, not fluid responsive (2) |
| If any system ≥2: has organ failure persisted ≥48 h? | Transient (<48 h) |
→Mod. MarshallOrgan failure
- Resp / Renal / CV：2 / 2 / 2
- Sum (0–12)：6
- Atlanta severity cue：Transient organ failure (<48 h) — moderately severe if no infected necrosis
| Respiratory: PaO₂/FiO₂ ratio | >400 (0) |
|---|---|
| Renal: serum creatinine (mg/dL) — off chronic dialysis baseline | ≤1.4 (0) |
| Cardiovascular: systolic BP / shock | SBP >90 (0) |
| If any system ≥2: has organ failure persisted ≥48 h? | N/A — no organ failure |
→Mod. MarshallNo OF
- Resp / Renal / CV：0 / 0 / 0
- Sum (0–12)：0
- Atlanta severity cue：No organ failure (mild if no local complications)
Verification & sources · governance
FAQ
Frequently asked questions
- Does Modified Marshall Score (Pancreatitis Organ Failure) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Modified Marshall Score (Pancreatitis Organ Failure) calculated in practice? Can you show a worked example?
- Inputs: Respiratory: PaO₂/FiO₂ ratio 201–300 (2), Renal: serum creatinine (mg/dL) — off chronic dialysis baseline 1.9–3.5 (2), Cardiovascular: systolic BP / shock SBP <90, not fluid responsive (2), If any system ≥2: has organ failure persisted ≥48 h? Transient (<48 h) → Result: Mod. Marshall Organ failure（Resp / Renal / CV: 2 / 2 / 2, Sum (0–12): 6, Atlanta severity cue: Transient organ failure (<48 h) — moderately severe if no infected necrosis） Inputs: Respiratory: PaO₂/FiO₂ ratio >400 (0), Renal: serum creatinine (mg/dL) — off chronic dialysis baseline ≤1.4 (0), Cardiovascular: systolic BP / shock SBP >90 (0), If any system ≥2: has organ failure persisted ≥48 h? N/A — no organ failure → Result: Mod. Marshall No OF（Resp / Renal / CV: 0 / 0 / 0, Sum (0–12): 0, Atlanta severity cue: No organ failure (mild if no local complications)）