Burch-Wartofsky Point Scale (BWPS) for Thyrotoxicosis
The Burch-Wartofsky Point Scale (BWPS) predicts likelihood of thyroid storm in adult patients with biochemical thyrotoxicosis. The scale consists in 7 specific signs and symptoms that are assigned a numerical value based on their severity.
The final score has three cut-off points for unlikely, impending and highly likely diagnosis.
Burch-Wartofsky Point Scale (BWPS) for Thyrotoxicosis
BWPS score interpretation and next steps
| BWPS Score | Thyroid storm | Next steps |
| <25 | Unlikely diagnosis | Investigate diagnosis of thyrotoxicosis and consider imaging |
| 25 - 44 | Impending diagnosis | Consider ICU monitoring and symptom management |
| ≥45 | Diagnosis highly likely | Consider rapid and aggressive multimodal management in ICU |
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Burch-Wartofsky Point Scale (BWPS) for Thyrotoxicosis
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