HBI v.1
To register the Harvey-Bradshaw Index (HBI) for Crohn's Disease patients.
To register the Harvey-Bradshaw Index (HBI) for Crohn's Disease patients.
Allows recording the Harvey-Bradshaw Index (HBI) which is used to stratify Crohn's Disease patients. HBI is simpler than the Crohn's Disease Activity Index (CDAI), which requires symptoms over the past 7 days, however, it is shown to have 93% correlation with the CDAI in the original study (Harvey 1980), a figure that has been duplicated in subsequent studies (Gomes 1986). Harvey-Bradshaw Index is calculated by adding the selected points: General well-being* 0-4p Abdominal pain* 0-3p Number of liquid/soft stools* 1p per stool Abdominal mass 0-3p Complications** 1p each *For the previous day, as reported by the patient. **Complications are: Artharalgia, uveitis, erythema nodosum, aphtous ulcers, pyoderna gangrenosum, anal fissures, new fistula, abscess The Harvey-Bradshaw index can be interpreted as: HBI Severity <5 Remission 5-7 Mild disease 8-16 Moderate disease >16 Severe disease
Not to be used for patient's without Crohn's Disease.
[1] Harvey RF, Bradshaw JM. A simple index of Crohn's-disease activity. Lancet. 1980;1(8167):514. [2] Gomes P, Du Boulay C, Smith CL, Holdstock G. Relationship between disease activity indices and colonoscopic findings in patients with colonic inflammatory bowel disease. Gut. 1986;27(1):92-5. [3] National Clinical Guideline Centre (UK). Crohn's Disease: Management in Adults, Children and Young People. London: Royal College of Physicians (UK); 2012 Oct 10. [4] Peyrin-Biroulet L, Panés J, Sandborn WJ, et al. Defining Disease Severity in Inflammatory Bowel Diseases: Current and Future Directions. Clin Gastroenterol Hepatol. 2016;14(3):348-354.e17.
OBSERVATION.hbi.v0, EVALUATION.hbi_assessment.v0
