{"id":171,"date":"2025-03-07T17:21:41","date_gmt":"2025-03-07T17:21:41","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=171"},"modified":"2026-03-14T21:20:03","modified_gmt":"2026-03-14T21:20:03","slug":"ocena-aktywnosci-reumatoidalnego-zapalenia-stawow-kalkulator-das-28","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/en\/kalkulatory\/aktywnosc\/ocena-aktywnosci-reumatoidalnego-zapalenia-stawow-kalkulator-das-28\/","title":{"rendered":"Ocena aktywno\u015bci reumatoidalnego zapalenia staw\u00f3w (RZS, RA) &#8211; DAS 28"},"content":{"rendered":"<section id=\"rx-das28-calculator\" style=\"max-width:960px;margin:0 auto;font:16px\/1.55 Inter,ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,'Segoe UI',sans-serif;color:#0f172a;\">\n  <div style=\"background:linear-gradient(180deg,#ffffff 0%,#fbfdff 100%);border:1px solid #e2e8f0;border-radius:24px;box-shadow:0 12px 30px rgba(15,23,42,.06);overflow:hidden;\">\n    <div style=\"padding:28px 28px 20px;border-bottom:1px solid #e2e8f0;background:radial-gradient(circle at top right, rgba(15,118,110,.08), transparent 32%), linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);\">\n      <div style=\"display:inline-block;padding:6px 12px;border-radius:999px;background:rgba(15,118,110,.10);color:#0f766e;font-size:12px;font-weight:700;letter-spacing:.02em;text-transform:uppercase;margin-bottom:14px;\">Disease Activity Assessment<\/div>\n      <h2 style=\"margin:0 0 10px;font-size:clamp(24px,3vw,32px);line-height:1.15;letter-spacing:-.02em;\">Ocena aktywno\u015bci RZS \/ RA \u2014 DAS28<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:76ch;\">Disease Activity Score 28 ocenia aktywno\u015b\u0107 RZS na podstawie 28 staw\u00f3w, wska\u017anika zapalnego i globalnej oceny pacjenta. Mo\u017cesz wybra\u0107 wariant z OB lub CRP.<\/p>\n    <\/div>\n\n    <div style=\"padding:28px;display:grid;gap:20px;\">\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">1. Wyb\u00f3r wariantu<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wybierz, czy liczysz DAS28 z OB czy z CRP.<\/p>\n\n        <label style=\"display:flex;align-items:flex-start;gap:10px;padding:12px 14px;border:1px solid #e2e8f0;border-radius:16px;margin-bottom:10px;background:#fff;cursor:pointer;\">\n          <input type=\"radio\" name=\"rx-das28-mode\" id=\"rx-das28-mode-esr\" value=\"esr\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n          <span><strong>DAS28-OB (ESR)<\/strong><\/span>\n        <\/label>\n\n        <label style=\"display:flex;align-items:flex-start;gap:10px;padding:12px 14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n          <input type=\"radio\" name=\"rx-das28-mode\" id=\"rx-das28-mode-crp\" value=\"crp\" style=\"margin-top:3px;accent-color:#0f766e;\">\n          <span><strong>DAS28-CRP<\/strong><\/span>\n        <\/label>\n      <\/div>\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;display:grid;gap:18px;\">\n        <div>\n          <label for=\"rx-das28-tjc\" style=\"display:block;margin:0 0 8px;font-weight:700;\">TJC28<\/label>\n          <p style=\"margin:0 0 10px;color:#475569;font-size:14px;\">Liczba bolesnych staw\u00f3w, zakres 0\u201328.<\/p>\n          <input id=\"rx-das28-tjc\" type=\"number\" min=\"0\" max=\"28\" step=\"1\" value=\"0\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n        <\/div>\n\n        <div>\n          <label for=\"rx-das28-sjc\" style=\"display:block;margin:0 0 8px;font-weight:700;\">SJC28<\/label>\n          <p style=\"margin:0 0 10px;color:#475569;font-size:14px;\">Liczba obrz\u0119kni\u0119tych staw\u00f3w, zakres 0\u201328.<\/p>\n          <input id=\"rx-das28-sjc\" type=\"number\" min=\"0\" max=\"28\" step=\"1\" value=\"0\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n        <\/div>\n\n        <div>\n          <label for=\"rx-das28-gh\" style=\"display:block;margin:0 0 8px;font-weight:700;\">GH<\/label>\n          <p style=\"margin:0 0 10px;color:#475569;font-size:14px;\">Globalna ocena stanu zdrowia przez pacjenta w VAS 0\u2013100 mm.<\/p>\n          <input id=\"rx-das28-gh\" type=\"number\" min=\"0\" max=\"100\" step=\"1\" value=\"0\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n        <\/div>\n\n        <div>\n          <label for=\"rx-das28-inflammatory\" style=\"display:block;margin:0 0 8px;font-weight:700;\">OB \/ CRP<\/label>\n          <p id=\"rx-das28-inflammatory-help\" style=\"margin:0 0 10px;color:#475569;font-size:14px;\">Wprowad\u017a OB w mm\/h dla DAS28-OB albo CRP w mg\/L dla DAS28-CRP.<\/p>\n          <input id=\"rx-das28-inflammatory\" type=\"number\" min=\"0\" step=\"0.1\" value=\"1\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n        <\/div>\n      <\/div>\n\n      <div style=\"display:flex;flex-wrap:wrap;gap:12px;margin-top:2px;\">\n        <button\n          type=\"button\"\n          id=\"rx-das28-calc-btn\"\n          style=\"appearance:none;border:0;border-radius:16px;padding:14px 18px;background:linear-gradient(180deg,#0f766e 0%,#115e59 100%);color:#fff;font:inherit;font-weight:700;cursor:pointer;box-shadow:0 12px 24px rgba(15,118,110,.22);display:inline-flex;align-items:center;justify-content:center;min-width:180px;\"\n        >Oblicz wynik<\/button>\n\n        <button\n          type=\"button\"\n          id=\"rx-das28-clear-btn\"\n          style=\"appearance:none;border:1px solid #cbd5e1;border-radius:16px;padding:14px 18px;background:#fff;color:#0f172a;font:inherit;font-weight:700;cursor:pointer;display:inline-flex;align-items:center;justify-content:center;\"\n        >Wyczy\u015b\u0107<\/button>\n      <\/div>\n\n      <div id=\"rx-das28-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-das28-result-title\" style=\"margin:0 0 8px;font-size:18px;line-height:1.3;font-weight:800;color:#0f172a;\">Wynik pojawi si\u0119 tutaj<\/p>\n        <p id=\"rx-das28-result-text\" style=\"margin:0 0 8px;\">Uzupe\u0142nij pola, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-das28-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Progi: remisja &lt;2,6; niska aktywno\u015b\u0107 2,6\u20133,2; umiarkowana &gt;3,2\u20135,1; wysoka &gt;5,1.<\/p>\n      <\/div>\n\n      <div style=\"border:1px solid #e2e8f0;background:linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);border-radius:18px;padding:16px 18px;color:#475569;font-size:14px;\">\n        <strong style=\"color:#0f172a;\">Uwaga:<\/strong> DAS28 s\u0142u\u017cy do monitorowania aktywno\u015bci RZS i odpowiedzi na leczenie. Wariant z CRP i z OB nie s\u0105 w pe\u0142ni zamienne, cho\u0107 oba s\u0105 szeroko u\u017cywane. Edukacyjnie. Nie zast\u0119puje konsultacji lekarskiej.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<script>\n(function () {\n  var calcBtn = document.getElementById('rx-das28-calc-btn');\n  var clearBtn = document.getElementById('rx-das28-clear-btn');\n  var modeEsr = document.getElementById('rx-das28-mode-esr');\n  var modeCrp = document.getElementById('rx-das28-mode-crp');\n  var help = document.getElementById('rx-das28-inflammatory-help');\n  var inflInput = document.getElementById('rx-das28-inflammatory');\n\n  if (!calcBtn || !clearBtn) return;\n\n  function updateHelper() {\n    if (modeCrp.checked) {\n      help.innerHTML = 'Wprowad\u017a CRP w mg\/L dla DAS28-CRP.';\n      inflInput.value = 0;\n    } else {\n      help.innerHTML = 'Wprowad\u017a OB w mm\/h dla DAS28-OB.';\n      inflInput.value = 1;\n    }\n  }\n\n  modeEsr.addEventListener('change', updateHelper);\n  modeCrp.addEventListener('change', updateHelper);\n\n  function readValue(id, min, max) {\n    var v = parseFloat(document.getElementById(id).value);\n    if (isNaN(v)) v = 0;\n    if (v < min) v = min;\n    if (v > max) v = max;\n    return v;\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var tjc = readValue('rx-das28-tjc', 0, 28);\n    var sjc = readValue('rx-das28-sjc', 0, 28);\n    var gh = readValue('rx-das28-gh', 0, 100);\n    var inflammatory = readValue('rx-das28-inflammatory', 0, 9999);\n\n    var score = 0;\n    var modeLabel = '';\n\n    if (modeCrp.checked) {\n      score = 0.56 * Math.sqrt(tjc) + 0.28 * Math.sqrt(sjc) + 0.36 * Math.log(inflammatory + 1) + 0.014 * gh + 0.96;\n      modeLabel = 'DAS28-CRP';\n    } else {\n      var esr = inflammatory < 1 ? 1 : inflammatory;\n      score = 0.56 * Math.sqrt(tjc) + 0.28 * Math.sqrt(sjc) + 0.70 * Math.log(esr) + 0.014 * gh;\n      modeLabel = 'DAS28-OB';\n    }\n\n    score = Math.round(score * 100) \/ 100;\n\n    var category = '';\n    var bg = '';\n    var border = '';\n    var color = '';\n\n    if (score < 2.6) {\n      category = 'Remisja';\n      bg = '#f0fdf4';\n      border = '1px solid #bbf7d0';\n      color = '#166534';\n    } else if (score <= 3.2) {\n      category = 'Niska aktywno\u015b\u0107';\n      bg = '#ecfeff';\n      border = '1px solid #a5f3fc';\n      color = '#155e75';\n    } else if (score <= 5.1) {\n      category = 'Umiarkowana aktywno\u015b\u0107';\n      bg = '#fffbeb';\n      border = '1px solid #fde68a';\n      color = '#92400e';\n    } else {\n      category = 'Wysoka aktywno\u015b\u0107';\n      bg = '#fef2f2';\n      border = '1px solid #fecaca';\n      color = '#991b1b';\n    }\n\n    var result = document.getElementById('rx-das28-result');\n    var title = document.getElementById('rx-das28-result-title');\n    var text = document.getElementById('rx-das28-result-text');\n    var note = document.getElementById('rx-das28-result-note');\n\n    result.style.display = 'block';\n    result.style.background = bg;\n    result.style.border = border;\n    title.style.color = color;\n    title.innerHTML = category;\n    text.innerHTML = modeLabel + ': ' + score.toFixed(2) + '.';\n    note.innerHTML = 'TJC28: ' + tjc + ', SJC28: ' + sjc + ', GH: ' + gh + ', ' + (modeCrp.checked ? 'CRP' : 'OB') + ': ' + inflammatory + '.';\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-das28-mode-esr').checked = true;\n    document.getElementById('rx-das28-tjc').value = 0;\n    document.getElementById('rx-das28-sjc').value = 0;\n    document.getElementById('rx-das28-gh').value = 0;\n    document.getElementById('rx-das28-inflammatory').value = 1;\n    document.getElementById('rx-das28-inflammatory-help').innerHTML = 'Wprowad\u017a OB w mm\/h dla DAS28-OB.';\n\n    document.getElementById('rx-das28-result').style.display = 'block';\n    document.getElementById('rx-das28-result').style.background = '#f8fafc';\n    document.getElementById('rx-das28-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-das28-result-title').style.color = '#0f172a';\n    document.getElementById('rx-das28-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-das28-result-text').innerHTML = 'Uzupe\u0142nij pola, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('rx-das28-result-note').innerHTML = 'Progi: remisja <2,6; niska aktywno\u015b\u0107 2,6\u20133,2; umiarkowana >3,2\u20135,1; wysoka >5,1.';\n  });\n})();\n<\/script>","protected":false},"excerpt":{"rendered":"<p>Ocena aktywno\u015bci choroby Ocena aktywno\u015bci RZS \/ RA \u2014 DAS28 Disease Activity Score 28 ocenia aktywno\u015b\u0107 RZS na podstawie 28 staw\u00f3w, wska\u017anika zapalnego i globalnej oceny pacjenta. Mo\u017cesz wybra\u0107 wariant z OB lub CRP. 1. Wyb\u00f3r wariantu Wybierz, czy liczysz DAS28 z OB czy z CRP. DAS28-OB (ESR) DAS28-CRP TJC28 Liczba bolesnych staw\u00f3w, zakres 0\u201328&#8230;.<\/p>","protected":false},"author":1,"featured_media":0,"parent":936,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-171","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/171","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/comments?post=171"}],"version-history":[{"count":6,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/171\/revisions"}],"predecessor-version":[{"id":1182,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/171\/revisions\/1182"}],"up":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/936"}],"wp:attachment":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/media?parent=171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}