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Clinical Rating Scale of Andrews et al for a Patient with an Inflammatory Bowel Disease (IBD)

Purpose: To evaluate a patient with an inflammatory bowel disease (IBD, Crohn's disease or ulcerative colitis) using the score of Andrews et al.

Description

Andrews et al developed a simple clinical rating scale to evaluate a patient with an inflammatory bowel disease (IBD, Crohn's disease or ulcerative colitis). This can help identify a patient with significant disease activity. The authors are from General Hospital in Birmingham, England.


Parameters:

(1) general well-being

(2) abdominal pain

(3) diarrhea

(4) extra-intestinal manifestations

(5) treatment intensity

 

Response for Each Parameter

Points

none

0

mild

1

moderate

2

severe or maximal

3

 

total score =

= SUM(points for all 5 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 15

• A score > 5 indicates physical illness.

 

Limitation:

• The inherent assumption is that all or most of the parameters change in tandem.

• Comorbid conditions could be impacting general well-being or other symptoms.


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Specialty

Objective

ICD-10