Seo et al developed a disease activity index for evaluating a patient with ulcerative colitis. This can be used to monitor a patient over time.
Parameters:
(1) blood stools
(2) number of bowel movements per day
(3) erythrocyte sedimentation rate (ESR) in mm in first hour
(4) hemoglobin in g/dL
(5) albumin in g/dL
|
Parameter |
Finding |
Score |
Weight |
Points |
|
bloody stool |
none or llittle |
0 |
60 |
0 |
|
|
present |
1 |
60 |
60 |
|
number of BM per day |
0 to 4 |
1 |
13 |
13 |
|
|
5 to 7 |
2 |
13 |
26 |
|
|
8 or more |
3 |
13 |
39 |
|
ESR |
|
ESR |
0.5 |
0.5*(ESR) |
|
hemoglobin |
|
hemoglobin |
-4 |
-4*(Hgb) |
|
albumin |
|
albumin |
-15 |
-15*(Alb) |
where:
• points = (score) * (weight)
• The greater the anemia and hypoalbuminemia, the greater disease severity.
total score =
= SUM(points for all 5 parameters) + 200
Interpretation:
• The minimum score with all normal values would be around 100.
• The maximum score with all abnormal values could reach 300.
Specialty: Gastroenterology
