Description

Nowacki et al reported a score for predicting the risk of cytomegalovirus infection in a patient with ulcerative colitis. The authors are from University Hospital Munster, HELIOS Albert-Schweitzer Hospital and Klinikum Bielfeld in Germany.


Patient selection: ulcerative colitis

 

Parameters:

(1) disease duration in months

(2) partial Mayo score (stool frequency, rectal bleeding, global assessment, from 0 to 9; omits endoscopy)

(3) steroid dose per day

(4) TNF-alpha inhibitor

(5) UC manifestations (left-sided colitis, pancolitis, proctitis)

 

Parameter

Finding

Points

disease duration

 

-0.007 * (months)

partial Mayo score

 

0.312 * (score)

daily steroid dose

none

0

 

< 20 mg per day

0.887

 

>= 20 mg/day

1.774

TNF alpha inhibitor

no

0

 

yes

2.41

UC manifestations

none

0

 

proctitis only

0.668

 

left-sided colitis

1.336

 

pancolitis

2.004

 

X =

= SUM(points for all 5 parameters) - 5.8329

 

probability of CMV infection =

= 1 / (1 + EXP((-1) * X))

 

Performance:

• The area under the ROC curve was 0.086.


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