TG18/TG13 severity grading for acute cholecystitis
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TG18/TG13 severity grading for acute cholecystitis
| Grade III (severe) acute cholecystitis |
| “Grade III” acute cholecystitis is associated with dysfunction of any one of the following organs/systems: |
| 1. Cardiovascular dysfunction: hypotension requiring treatment with dopamine ≥5 μg/kg per min, or any dose of norepinephrine |
| 2. Neurological dysfunction: decreased level of consciousness |
| 3. Respiratory dysfunction: PaO2/FiO2 ratio <300 |
| 4. Renal dysfunction: oliguria, creatinine >2.0 mg/dl |
| 5. Hepatic dysfunction: PT-INR >1.5 |
| 6. Hematological dysfunction: platelet count <100,000/mm3 |
| Grade II (moderate) acute cholecystitis |
| “Grade II” acute cholecystitis is associated with any one of the following conditions: |
| 1. Elevated WBC count (>18,000/mm3) |
| 2. Palpable tender mass in the right upper abdominal quadrant |
| 3. Duration of complaints >72 ha |
| 4. Marked local inflammation (gangrenous cholecystitis, pericholecystic abscess, hepatic abscess, biliary peritonitis, emphysematous cholecystitis) |
| Grade I (mild) acute cholecystitis |
| “Grade I” acute cholecystitis does not meet the criteria of “Grade III” or “Grade II” acute cholecystitis. It can also be defined as acute cholecystitis in a healthy patient with no organ dysfunction and mild inflammatory changes in the gallbladder, making cholecystectomy a safe and low-risk operative procedure |
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