CDI Recurrence Prediction

Patient Information

Patient Age:

Patients had hospitalized within 12 weeks?

Yes No

Number of Days Hospitalized?

0-30 days
31-90 days
91-180 days
Over 180 days

Current CDI record

Is current CDI severe according to IDSA?

Yes No

Number of confirmed CDI diagnoses:

Laboratory Results

Laboratory Results Date - Admission Date:

Minimum Albumin Level:

Maximum White Blood Cells Level:

Maximum Creatinine Level:

Creatinine rise above 150 micro-mol/L?

Yes No

White blood cell count over 15 x 10^9/L?

Yes No