. 2010 Jun;1(3):139–145. doi: 10.1177/2042018810382481

Table 1.

Diagnostic criteria for thyroid storm.

Clinical feature		Scoring points
Thermoregulatory dysfunction
Temperature °F (°C)
99–99.9 (37.2–37.7)		5
100–100.9 (37.8–38.2)		10
101–101.9 (38.3–38.8)		15
102–102.9 (38.9–39.4)		20
103–103.9 (39.5–39.9)		25
≥104 (40)		30
Cardiovascular dysfunction
Tachycardia (beats per minute)
<99		0
99–109		5
110–119		10
120–129		15
130–139		20
≥140		25
Congestive heart failure
Absent		0
Mild (Pedal oedema)		5
Moderate (Bibasal rales or crackles)		10
Severe (Pulmonary oedema)		15
Atrial fibrillation
Absent		0
Present		10
Central nervous system dysfunction
Absent		0
Mild (Agitation)		10
Moderate (Delirium, psychosis, extreme lethargy)		20
Severe (Seizures, coma)		30
Gastrointestinal-hepatic dysfunction
Absent		0
Moderate (Diarrhoea, nausea/vomiting, abdominal pain)		10
Severe (Jaundice)		20
Previous episode of thyroid storm
Absent		0
Present		10
	Total
	>45	Highly likely thyroid storm
	25–44	Suggestive of impending storm
	<25	Unlikely to represent storm