Table 1.

Burch and Wartofsky scoring system for thyroid storm

Diagnostic criteria		Scoring points
Temperature °C (°F)	37.2–37.7 (99–99.9)	5
	37.8–38.2 (100–100.9)	10
	38.3–38.8 (101–101.9)	15
	38.9–39.4 (102–102.9)	20
	39.5–39.9 (103–103.9)	25
	>40 (≥104)	30
CNS effects	Mild (agitation)	10
	Moderate (delirium/psychosis)	20
	Severe (seizure/coma)	30
Gastrointestinal–	Moderate (diarrhea)	10
hepatic dysfunction	Severe (jaundice)	20
Tachycardia	99–109	5
	110–119	10
	120–129	15
	130–139	20
	>140	25
Congestive heart failure	Mild (pedal edema)	5
	Moderate (bibasilar rales)	10
	Severe (pulmonary edema)	15
Atrial fibrillation	Absent	0
	Present	10
Precipitant history	Negative	0
	Positive	10

CNS, central nervous system. Bolded values represent the patient's score.