Jansen et al developed a score for evaluating a patient with Crohn's disease (CD). The authors are from Charite Universitatsmedizin (Berlin), University of Applied Sciences (Neubrandenburg) and Krankenhaus Waldfriede (Berlin) in Germany.
Patient selection: Crohn's disease (CD)
Time period: 6 months
Parameters:
(1) Crohn's disease related doctor, clinic or ED visits
(2) new complications (stenosis, fistula, abscess, etc)
(3) Crohn's disease related hospitalizations
(4) flare-up or relapse
(5) Crohn's disease related surgery
(6) change in prednisolone dose
(7) change in anti-TNF agent dose
(8) change in immunosuppressant dose
(9) intake of antibiotics
(10) intake of NSAIDS
|
Parameter |
Finding |
Points |
|
visits |
|
<number of visits> |
|
complications |
|
3 * <number of complications> |
|
hospitalizations |
|
<days hospitalized> |
|
flare-up or relapse |
|
5 * <number of relapses> |
|
surgeries |
|
5 * <number of surgeries> |
|
prednisolone dose |
increased |
1 |
|
|
same |
0 |
|
|
decreased |
-1 |
|
anti-TNF agent dose |
increased |
1 |
|
|
same |
0 |
|
|
decreased |
-1 |
|
immunosuppressant doses |
increased |
1 |
|
|
same |
0 |
|
|
decreased |
-1 |
|
antibiotics |
none |
0 |
|
|
<= 2 days |
0 |
|
|
> 2 days |
2 |
|
intake NSAIDS |
none |
0 |
|
|
periodic |
0 |
|
|
regular intake |
1 |
total score =
= SUM(points for all 10 parameters)
Interpretation:
• minimum score: -3
• maximum score: varies with visits, complications, hospital stays, relapses and surgeries.
• The higher the score the more severe the Crohn's disease.
Specialty: Gastroenterology
