Consensus of the international working group for the world congress of gastroenterology, Vienna 1998

Age at point of diagnosis1 =< 40 years Date of histological, surgical, radiological or endoscopic diagnosis, no anamnestic fixed date of start of disease.
1 > 40 years
Localisation 1 = terminal IleumMaximal spread of disease at any time before an surigcal resection. Aphtous lesions or ulceration of any size, a mucous membrane erythema is not enough.
2 = Colon
3 = Ileocolon
4 = Upper GI- tract
B (Behaviour) 1 = not stenosing or penetratingInflammatory tumors, fistulas, perianal ulcers are defined as penetrating lesions. Postoperative complications are excluded. Stenoses may be surgically, endoscopically, or radiologically diagnosed.
2 = stenosing
3 = penetrating
Other data:
  • Gender: F/M
  • Ethnical belonging: caucasian, jewish, asian, colored
  • Family anamnesis of a CIBD: yes/no
  • Relatives 1st degree ?
  • Extraintestinal manifestations: yes/no

 

CDAI-Index (Crohn´s Disease Activity Index)

 

 

Variable

 

Amount

 

Coefficient

 

Final value

 

Amount of soft stools in last week

 

 

x 2 

 

 

 

Degree of abdominal pain (over 1 week)

 

 

 

x 5 

 

 

 

General condition (over 1 week)

 

 

 

x 7 

 

 

 

Amount of Crohn´s Disease associated symptoms

 

 

 

x 20

 

 

 

Symptomatic diarrhea-therapy

 

 

 

x 30

 

 

 

Resistance in abdomen (no = 0 / doubtful = 1 / definitely = 2)

 

 

 

x 10

 

 

 

Hematocrit ( Women 42 - HCT / Men 47 - HCT)

 

 

 

x 6 

 

 

 

Weight ( 1- Weight/Standard weight)

 

 

 

x 100

 

 

 

( < 150 latent / > 150 active disease )

 

Activity index sum:

 

 

 

   

SAI-Index (Severity Activity Index) (Goebell)

 

 

Variable

 

Value

 

Coefficient

 

Final Value

 

Amount of diarrheas per day (weekly vlaue / 7)

 

 

 

x 10

 

 

 

Degree of abdominal pain (weekly value / 7)

 

 

 

x 50

 

 

 

Anal / perianal lesions (no = 0 / yes = 1)

 

 

 

x 30

 

 

 

Resistance in abdomen (no = 0 / yes = 1)

 

 

 

x 30

 

 

 

Extraintestinale symptoms (no = 0 / yes = 1)

 

 

 

x 30

 

 

 

Temperature ( > 37°C = 1 / < 37°C = 0 )

Classifications