Talstad and Gjone reported a score for measuring Crohn's disease activity. This can be used to evaluate the patient initially or to monitor the patient over time. The authors are from that National Hospital of Norway in Oslo.
Parameters:
(1) bowel movements per day
(2) body temperature
(3) heart rate
(4) abdominal pain
(5) body weight
(6) colon on X-rays
(7) proctoscopy
(8) fistula
(9) erythrocyte sedimentation rate (ESR)
(10) hemoglobin
(11) white blood cell count
(12) platelet count (thrombocytes)
(13) total protein
(14) serum albumin
(15) serum iron
(16) total iron binding capacity (TIBC)
(17) Schilling test (for vitamin B12 absorption)
(18) serum folic acid
|
Parameter |
Finding |
Points |
|
bowel movements per day |
0 to 2 |
0 |
|
|
3 to 5 |
1 |
|
|
6 to 10 |
2 |
|
|
> 10 |
3 |
|
body temperature |
< 38°C |
0 |
|
|
38 to 39°C |
1 |
|
|
> 39°C |
2 |
|
heart rate |
<= 100 beats per minute |
0 |
|
|
> 100 beats per minute (tachycardia) |
2 |
|
abdominal pain |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
body weight |
< 5 kg weight loss |
0 |
|
|
5 to 10 kg weight loss |
1 |
|
|
> 10 kg weight loss |
2 |
|
changes in colon on X-ray |
normal |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
proctoscopy |
normal |
0 |
|
|
mild to moderate |
1 |
|
|
severe |
2 |
|
fistula |
absent |
0 |
|
|
present |
2 |
|
ESR |
< 10 mm/h |
0 |
|
|
10 to 30 mm/h |
1 |
|
|
> 30 mm/h |
2 |
|
hemoglobin |
> 11.8 g/dL |
0 |
|
|
10 to 11.8 g/dL |
1 |
|
|
< 10 g/dL |
2 |
|
white blood cell count |
<= 10,000 per µL |
0 |
|
|
> 10,000 per µL |
2 |
|
platelet count |
<= 400,000 per µL |
0 |
|
|
> 400,000 per µL |
2 |
|
total protein |
>= 6.5 g/dL |
0 |
|
|
5.5 to 6.4 g/dL |
1 |
|
|
< 5.5 g/dL |
2 |
|
serum albumin |
>= 3.3 g/dL |
0 |
|
|
2.5 to 3.2 g/dL |
1 |
|
|
< 2.5 g/dL |
2 |
