Overviw:
Powell-Tuck et al developed a scoring index for patients with ulcerative colitis. This can be used to monitor a patient over time and to evaluate the response to therapy. The authors are from St. Mark's Hospital.
Parameters:
(1) disability and well-being
(2) abdominal pain
(3) bowel movement frequency
(4) stool consistency
(5) rectal bleeding
(6) anorexia
(7) nausea and vomiting
(8) abdominal tenderness
(9) extraintestinal complications affecting eye, skin, joints, mouth
(10) body temperature in °C
(11) sigmoidoscopic appearance
|
Parameter |
Finding |
Points |
|
disability and well-being |
no disabilities |
0 |
|
|
impaired but able to continue activities |
1 |
|
|
reduction in activities |
2 |
|
|
unable to work |
3 |
|
abdominal pain |
none |
0 |
|
|
with bowel movements |
1 |
|
|
present between bowel movements (more continuous) |
2 |
|
bowel movement frequency |
0 to 2 within 24 hours |
0 |
|
|
3 to 6 within 24 hours |
1 |
|
|
7 or more within 24 hours |
2 |
|
stool consistency |
normal |
0 |
|
|
semiformed |
1 |
|
|
liquid |
2 |
|
rectal bleeding |
none |
0 |
|
|
trace |
1 |
|
|
some or a lot (more than trace) |
2 |
|
anorexia |
absent |
0 |
|
|
present |
1 |
|
nausea and vomiting |
absent |
0 |
|
|
present |
1 |
|
abdominal tenderness |
none |
0 |
|
|
mild |
1 |
|
|
marked |
2 |
|
|
rebound |
3 |
|
extraintestinal complications |
none |
0 |
|
|
mild at 1 site |
1 |
|
|
severe at 1 site |
2 |
|
|
mild at 2 or more sites |
2 |
|
body temperature |
< 37.1°C |
0 |
|
|
37.1 to 38°C |
1 |
|
|
> 38°C |
2 |
|
sigmoidoscopic appearance |
no bleeding |
0 |
|
|
bleeding on light touch, friable |
1 |
|
|
spontaneous bleeding |
2 |
total score without sigmoidoscopic appearance =
= SUM(points for the first 10 parameters)
total score =
= SUM(points for all 11 parameters)
Interpretation:
• minimum score: 0
• maximum score without sigmoidoscopic appearance: 20
• maximum score with sigmoidoscopic appeaerance: 22
• The higher the score the more active the ulcerative colitis.
Specialty: Gastroenterology
