Truelove and Witts criteria
Gastroenterology and hepatology
Also known as: Truelove-Witts-Kriterien · Truelove-Witts kriterleri · Truelove and Witts criteria (severity of ulcerative colitis)
What it is for
Clinical grading of the severity of an ulcerative colitis flare into mild, moderate and severe, mainly used to define acute severe ulcerative colitis.
Classification
| Category | Description |
|---|---|
| Severe | 6 or more bloody stools a day plus at least one sign of systemic toxicity: temperature above 37.8 °C, pulse above 90/min, haemoglobin below 10.5 g/dL, erythrocyte sedimentation rate (ESR) above 30 mm/h, or (modified form) C-reactive protein (CRP) above 30 mg/L |
| Mild | fewer than 4 stools a day with little or no blood and no signs of systemic toxicity |
| Moderate | between mild and severe |
| Note | the exact limits of the mild and moderate bands differ slightly between published modified versions. |
Source
Cortisone in ulcerative colitis; final report on a therapeutic trial
Br Med J 1955;2:1041–1048 (Truelove SC, Witts LJ)
PMID: 13260656
- Edition
- Truelove and Witts 1955, in the modified form in current use (C-reactive protein added)
- Checked on
Summary of the published classification in our own words. Not a substitute for the original publication.
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