Oxford (Travis) Day-3 Criteria

Day-3 prediction of colectomy during the admission.

UCPrognosisValidated criteria

Clinical indication

Prediction on the third day of intravenous corticosteroid of the need for colectomy during the same admission, used to time rescue therapy rather than to wait for failure.

What is scored

The calculator collects 3 items:

Any item left blank stops the score being calculated — an incomplete form never reports as remission.

Interpretation

< 3 stools/dayCriteria not met
3 - 8 stools/day, CRP ≤ 45Incomplete response
> 8/day, or 3 - 8/day with CRP > 45Meets criteria (~85% colectomy)

Bands as implemented in IBD Care. A band is a description of the score, not an instruction.

Limitations

Validated specifically at day three of intravenous steroid; applying it on another day changes its meaning. It predicts colectomy during that admission, not longer-term outcome, and was derived before widespread rescue therapy. It identifies risk and does not select between ciclosporin, infliximab or surgery.

References

Content last reviewed 2026-10-10. References were resolved against PubMed, a service of the US National Library of Medicine, which does not endorse this site.

Use the calculator

Oxford (Travis) Day-3 Criteria is implemented as an interactive calculator in IBD Care, with its full guidance and scoring bands.

Open IBD Care