See also
SES-CD score
Harvey-Bradshaw index for Clinical disease activity in Crohn’s Disease
| Parameter | Input and score |
| 1. Patient well-being (previous day) | 0 = very well 1 = slightly below par 2 = poor 3 = very poor 4 = terrible |
| 2. Abdominal pain (previous day) | 0 = none 1 = mild 2 = moderate 3 = severe |
| 3. Number of liquid or soft stools (previous day) | blank field possibility to insert an integer, from 1 to 25 |
| 4. Abdominal mass | 0 = none 1 = dubious 2 = definite 3 = definite and tender |
| 5. Complications | No (0 points) Yes (drop-down menu with multiple selection; each selected complication is counted with 1 point)arthralgiauveitiserythema nodosumaphthous ulcerpyoderma gangrenosumanal fissuresappearance of a new fistulaabscess |
| Score | Decoding |
| < 5 | remission |
| 5 – 7 | mild activity |
| 8 – 16 | moderate activity |
| > 16 | severe activity |
The Harvey-Bradshaw Index (HBI) is a clinical tool designed to assess and monitor the activity of Crohn’s disease by evaluating symptoms such as general well-being, abdominal pain, stool frequency, abdominal mass, and complications. It is widely used in both clinical practice and research to gauge disease severity, track changes over time, and guide treatment decisions. However, it is important to note that the HBI was not designed to be a prognostic tool; it does not predict long-term outcomes such as the likelihood of surgery, treatment response, or mortality. Instead, it helps clinicians manage the current state of the disease and adjust therapy as needed.
as a picture:
References:
Harvey RF, Bradshaw JM. A simple index of Crohn’s-disease activity. Lancet 1980; 315 (8167): 514