BWPS Score for Thyrotoxicosis

Burch-Wartofsky Point Scale (BWPS) Calculator

Endocrinology

Burch-Wartofsky Point Scale (BWPS) for Thyrotoxicosis

Estimates the likelihood that biochemical thyrotoxicosis represents thyroid storm. Enter the patient’s current clinical findings below.

Clinical findings

All fields are required to calculate the total score.

°F
Equivalent: — °C
bpm
Use the current measured heart rate.
Atrial fibrillation present
Precipitating event

Interpretation: <25 points: thyroid storm unlikely; 25–44 points: impending thyroid storm; ≥45 points: highly suggestive of thyroid storm.

Reference: Burch HB, Wartofsky L. Life-threatening thyrotoxicosis: thyroid storm. Endocrinology and Metabolism Clinics of North America. 1993;22(2):263–277.

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