Talstad and Gjone reported criteria for classifying Crohn's disease activity. The authors are from that National Hospital of Norway in Oslo.
Parameters:
(1) diarrhea (bowel movements per day)
(2) weight loss
(3) abdominal pain
(4) general condition
(5) number of laboratory abnormalities (hemoglobin, erythrocyte sedimentation rate, serum albumin, platelet count)
|
Laboratory Test |
Finding |
Points |
|
hemoglobin |
>= 11.8 g/dL |
0 |
|
|
< 11.8 g/dL |
1 |
|
ESR |
<= 30 mm/h |
0 |
|
|
> 30 mm/h |
1 |
|
serum albumin |
>= 3.0 g/dL |
0 |
|
|
< 3.0 g/dL |
1 |
|
platelet count |
<= 400,000 per µL |
0 |
|
|
> 400,000 per µL |
1 |
where:
• The cutoff for platelet count should be the upper limit of the normal reference range.
|
Parameter |
Mild |
Intermediate |
Severe |
|
bowel movements per day |
1 to 4 |
5 or 6 |
7 or more |
|
weight loss |
< 10 kg |
10 kg |
> 10 kg |
|
abdominal pain |
none to mild |
moderate |
severe |
|
general condition |
good |
fair |
poor |
|
laboratory abnormalities |
0 or 1 |
2 |
3 or 4 |
Specialty: Gastroenterology
