Harvey-Bradshaw Index
Measures Crohn disease activity with five simple clinical items.
When to use
Follow-up of adults with Crohn disease to estimate clinical activity simply.
Pearls and pitfalls
- The index uses well-being, pain, stool frequency, complications and abdominal mass.
- The number of liquid stools per day enters the sum as the observed value.
- The index is clinical and does not replace endoscopy, imaging or inflammatory markers when indicated.
- The score should be interpreted with the clinical course and current treatment.
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Formula
Add well-being (0 to 4), pain (0 to 3), liquid stools per day, complications (1 each) and abdominal mass (0 to 3).
Evidence
Simplified clinical index derived from the CDAI to facilitate Crohn disease follow-up.
References
- Harvey RF, Bradshaw JM. A simple index of Crohn's-disease activity. Lancet. 1980;1(8167):514. doi:10.1016/s0140-6736(80)92767-1
Frequently asked questions
What is Harvey-Bradshaw Index?
Measures Crohn disease activity with five simple clinical items. Follow-up of adults with Crohn disease to estimate clinical activity simply.
How is the result calculated?
Add well-being (0 to 4), pain (0 to 3), liquid stools per day, complications (1 each) and abdominal mass (0 to 3).
How should the result be interpreted?
Simplified clinical index derived from the CDAI to facilitate Crohn disease follow-up.
What are the sources?
Harvey RF, Bradshaw JM. A simple index of Crohn's-disease activity. Lancet. 1980;1(8167):514.