Truelove and Witts severity (ulcerative colitis)
Identifies acute severe ulcerative colitis needing admission.
Inputs
0 of 1per day
Heart rate above 90
Temperature above 37.8 °C
Hemoglobin below 10.5 g/dL
ESR above 30 mm/h (or CRP above 30 mg/L)
When to use
- Ulcerative colitis flare.
Pearls and pitfalls
- Acute severe UC: admit for IV corticosteroids; assess rescue therapy on day 3 (Oxford criteria).
Why use
The standard admission threshold for UC.
Severe: 6 or more bloody stools per day plus at least one of HR > 90, temp > 37.8 °C, Hb < 10.5 g/dL, ESR > 30 (or CRP > 30)