Some authors use a modification of the Harvey-Bradshaw index (see above). This modification uses a score for the number of liquid stools per day rather than the raw count.
Parameters:
(1) general well-being
(2) abdominal pain
(3) number of liquid stools per day
(4) abdominal mass
(5) complications (arthralgias, uveitis, erythema nodosum, aphthous ulcers, pyoderma gangrenosum, anal fissure, new fistula, abscess)
For outpatients the first 3 items are scored based on the status of the patient on the day prior to the examination, in order to minimize any effect introduced by coming to the clinic visit.
|
Parameters |
Finding |
Points |
|
general well-being |
very well |
0 |
|
|
slightly below par |
1 |
|
|
poor |
2 |
|
|
very poor |
3 |
|
|
terrible |
4 |
|
abdominal pain |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
number of liquid stools per day |
0 |
0 |
|
|
1 or 2 |
1 |
|
|
3 or 4 |
2 |
|
|
5, 6 or 7 |
3 |
|
|
8 or 9 |
4 |
|
|
>= 10 |
5 |
|
abdominal mass |
none |
0 |
|
|
dubious |
1 |
|
|
definite |
2 |
|
|
definite and tender |
3 |
|
arthralgia |
absent |
0 |
|
|
present |
1 |
|
uveitis |
absent |
0 |
|
|
present |
1 |
|
erythema nodosum |
absent |
0 |
|
|
present |
1 |
|
aphthous ulcers |
absent |
0 |
|
|
present |
1 |
|
pyoderma gangrenosum |
absent |
0 |
|
|
present |
1 |
|
anal fissure |
absent |
0 |
|
|
present |
1 |
|
new fistula |
absent |
0 |
|
|
present |
1 |
|
abscess |
absent |
0 |
|
|
present |
1 |
simple index =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 22
• The higher the index, the more severe the disease activity.
Performance:
• The index was demonstrated to correlate well with other disease activity indices.
Specialty: Gastroenterology
