|
Assessment |
Points |
|
Stool frequency | |
|
Patient reporting a normal number of daily stools |
0 |
|
1-2 more stools than normal |
1 |
|
3-4 more stools than normal |
2 |
|
≥5 more stools than normal |
3 |
|
Rectal bleeding | |
|
None |
0 |
|
Blood streaks seen with stool less than half of the time |
1 |
|
Blood with most stools |
2 |
|
Pure blood passed |
3 |
|
Endoscopic findings | |
|
Normal or inactive colitis |
0 |
|
Mild friability, erythema, decreased vascularity |
1 |
|
Friability, marked erythema, absent vascular pattern, erosions |
2 |
|
Ulcerations and spontaneous bleeding |
3 |
|
Physician global assessment | |
|
Normal |
0 |
|
Mild colitis |
1 |
|
Moderate colitis |
2 |
|
Severe colitis |
3 |
|
Higher scores are correlated with more severe ulcerative colitis. | |
|
Source: N Engl J Med. 1987;317(26):1625-9. | |