This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.
PUCAI – Pediatric Ulcerative Colitis Activity Index
Six clinical items (0–85 points): remission < 10, mild 10–34, moderate 35–64, severe ≥ 65
Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.
Frequently asked questions
PUCAI – Pediatric Ulcerative Colitis Activity Index: What does this calculator compute?
PUCAI (Turner 2007) for the non-invasive assessment of activity of ulcerative colitis in children: abdominal pain, rectal bleeding, stool consistency, stool frequency, nocturnal bowel movements and activity level; sum 0–85 with the cut-offs of the ECCO/ESPGHAN guideline.
PUCAI – Pediatric Ulcerative Colitis Activity Index: Which sources is this calculator based on?
Turner D, Otley AR, Mack D, et al.: Development, validation, and evaluation of a pediatric ulcerative colitis activity index: a prospective multicenter study (Gastroenterology 133:423–432) (2007); Turner D, Levine A, Escher JC, et al.: Management of pediatric ulcerative colitis: joint ECCO and ESPGHAN evidence-based consensus guidelines (JPGN 55:340–361, Appendix 3) (2012); European Medicines Agency: Draft qualification opinion – Paediatric Ulcerative Colitis Activity Index (PUCAI) (EMA/CHMP/SAWP/485560/2015) (2015); Wine E, Aloi M, … Assa A (ESPGHAN/ECCO): Management of paediatric ulcerative colitis, part 1: Ambulatory care – An updated evidence-based consensus guideline from ESPGHAN and ECCO (J Pediatr Gastroenterol Nutr 2025) (2025)