Ulcerative Colitis Risk for Colectomy Score

Description

Ananthakrishnan et al developed 2 scores for predicting the risk that a patient hospitalized for Ulcerative Colitis (UC) will need to undergo a colectomy. These can help to identify a patient who may benefit from more aggressive management. The authors are from the Medical College of Wisconsin and the University of Pittsburgh.

Patient selection: hospitalized patient with ulcerative colitis (excluding patients admitted for elective colectomy and for colorectal cancer)

The authors developed 2 scores for predicting the risk for total colectomy during the index hospital stay.

Parameters (based on ICD-9-CM codes):

(1) anemia

(2) need for blood transfusion

(3) malnutrition

(4) transfer from an outside hospital

(5) admission to a teaching hospital

(6) total parenteral nutrition (TPN)

(7) ulcerative pancolitis

Parameter	Finding	Points
anemia	absent	0
	present	1
need for blood transfusion	no	0
	yes	1
malnutrition	absent	0
	present	2
transfer from an outside hospital	no	0
	yes	1
admission to a teaching hospital	no	0
	yes	1

The first colectomy risk score uses the first 5 items plus the following one (total 6 parameters)

Parameter	Finding	Points
total parenteral nutrition	no	0
	yes	2

The second (modified) risk score uses the first 5 items plus the following 2 (total 7 parameters).

Parameter	Finding	Points
total parenteral nutrition	no	0
	yes	1
ulcerative pancolitis	no	0
	yes	2

total risk scores =

= SUM(points for all of the parameters)

Interpretation:

• minimum scores: 0

• maximum first score: 8

• maximum modified score: 9

• The higher the score the greater the risk for needing a total colectomy.

Total Score (Both Models)	Risk for Total Colectomy
0 or 1	low
2 or 3	moderate
4 or more	high

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Description

Specialty

Objective

ICD-10

Purpose: To identify a patient admitted to the hospital for ulcerative colitis (UC) who is more likely to undergo a total colectomy.

Description

Specialty

Objective

ICD-10