Table 16.

Weighted pediatric Crohn’s disease activity index

Item		Score
Stomach pain	None	0
	Mild: brief and does not limit activity	10
	Moderate/severe: prolonged, daily, activity-limiting, or occurs after sleep Good condition, no activity restrictions	20
Patient behavior/general condition	Good condition, behavior unrestricted	0
	Age-appropriate behavior may be more restricted than usual	10
	Poor condition, often with behavioral restrictions	20
Stools (per day)	0–1, no blood	0
	≤ 2 soft stools with a small amount of blood or 2–5 watery stools	7.5
	Obvious bleeding or > 6 watery stools or diarrhea after sleeping	15
Erythrocyte sedimentation rate (mm/h)	< 20	0
	20–50	7.5
	> 50	15
Albumin (g/dL)	≥ 3.5	0
	3.1–3.4	10
	≤ 3.0	20
Shifts in body weight	Weight gain or intentional weight changes/weight loss	0
	Unintentional weight changes, 1–9% decrease in weight	5
	≥ 10% decrease in body weight	10
Anal lesions	None/only asymptomatic cutaneous edema	0
	1–2 painless fistulas with poor drainage and no tenderness	7.5
	Active fistula with drainage, tenderness, or abscess	15
Extraintestinal complications (fever > 38.5 °C for > 3 days during the past week, arthritis, iritis, erythema nodosum, pyoderma gangrenosum)	None	0
	At least 1 extraintestinal complication	10

Maximum score = 125. Remission = ≤ 10; mild = 12.5–40; moderate = 40–57.5; and severe = 57.5–125