De Cristafro et al reported predictors for colectomy in a patient with ulcerative colitis. These can help to identify a patient who may require more aggressive management. The authors are from the University of Rome "Tor Vergata".
Patient selection: severe ulcerative colitis responding to corticosteroids or infliximab
Parameters:
(1) serum albumin in g/dL
(2) colonic dilation in cm on admission
Parameter
Finding
Points
serum albumin
>= 3.0 g/dL
0
< 3.0 g/dL
1 (OR 6.9)
colonic dilation
diameter <= 5.5 cm
0
diameter > 5.5 cm
1 (OR 8.5)
total score =
= SUM(points for both parameters)
Interpretation:
• minimum number of predictors: 0
• maximum number of predictors: 2
• A person with both predictors had a rate of colectomy 13 times greater than someone with no risk factors.
Total Score
4 Year Colectomy-Free Survival
0
93%
1
76%
2
14%
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