MDCalc

Crohn's Disease Activity Index (CDAI)

Determines the current severity of Crohn's disease.

Signs, symptoms, and history should be based on the past 7 days. Note: for abdominal pain and general well-being ratings, this calculator uses an average rating per day over the past 7 days. For stools, use the total number of soft/liquid stools over the past 7 days.

Sex
stools
rating
rating
Anti-diarrhea drug use
Abdominal mass
%

Extraintestinal Findings/Complications

Arthritis/arthralgias
Iritis/uveitis
Erythema nodosum, pyoderma gangrenosum, or apthous stomatitis
Anal fissure, fistula, or abscess
Other fistula
Fever/temperature > 100°F/37.8°C

Result:

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Advice

The CDAI is the de facto gold standard and is used in studies worldwide.

Management
  • Multiple algorithms use the score, though we are not aware of any that are validated based on outcomes.
  • Refer to ACG guidelines for management of acute diarrheal infections in adults.
Critical Actions

Requires laboratory values, detailed history-taking and a 7-day patient diary of symptoms.