Consensus of the international working group for the world congress of gastroenterology, Vienna 1998 | ||
Age at point of diagnosis | 1 =< 40 years | Date of histological, surgical, radiological or endoscopic diagnosis, no anamnestic fixed date of start of disease. |
1 > 40 years | ||
Localisation | 1 = terminal Ileum | Maximal 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 penetrating | Inflammatory 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:
|
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 ) |