Nutrition management in acute pancreatitis: Clinical practice consideration

Table 2 Modified Marshall scoring system for organ dysfunction

Organ system	Score
	0	1	2	3	4
Respiratory (PaO2/FiO2)	> 400	301-400	201-300	101-200	≤ 100
Renal1
Serum Cr (μmol/L)	≤ 134	134-169	170-310	311-439	> 439
Serum Cr (mg/dL)	< 1.4	1.4-1.8	1.9-3.6	3.6-4.9	> 4.9
Cardiovascular (SBP, mm Hg)2	> 90	< 90, fluid responsive	< 90, not fluid responsive	< 90, pH < 7.3	< 90, pH < 7.2

¹A score for patients with pre-existing chronic renal failure depends on the extent of further deterioration of baseline renal function. No formal correction exists for a baseline serum creatinine ≥ 134 μmol/L or ≥ 1.4 mg/dL.

²Off inotropic support. A score of 2 or more in any system defines the presence of organ failure. Cr: Creatinine; SBP: Systolic blood pressure.