cliot (version 1.0.0)

kawasaki_disease_criteria: Kawasaki Disease Diagnostic Criteria

Description

Evaluates the clinical diagnostic criteria for Kawasaki Disease (KD). According to the American Heart Association (AHA) guidelines, diagnosis of Complete KD requires fever for at least 5 days plus the presence of at least 4 of the 5 principal clinical features.

Usage

kawasaki_disease_criteria(fever_ge_5_days, conjunctivitis, oral_mucosal_changes,
                          extremity_changes, polymorphous_rash,
                          cervical_lymphadenopathy)

Value

A list containing:

Diagnosis_Result

Classification as "Complete Kawasaki Disease", "Incomplete Kawasaki Disease (Possible)", or "Criteria Not Met".

Criteria_Count

The number of principal clinical features present (excluding fever).

Recommendation

Clinical guidance based on the criteria met.

Arguments

fever_ge_5_days

Numeric (0 or 1). Fever persisting for at least 5 days. (1 = Yes).

conjunctivitis

Numeric (0 or 1). Bilateral bulbar conjunctival injection without exudate. (1 = Yes).

oral_mucosal_changes

Numeric (0 or 1). Changes in lips and oral cavity (e.g., erythema, cracked lips, strawberry tongue). (1 = Yes).

extremity_changes

Numeric (0 or 1). Changes in extremities (e.g., edema, erythema of palms/soles, desquamation). (1 = Yes).

polymorphous_rash

Numeric (0 or 1). Polymorphous exanthem. (1 = Yes).

cervical_lymphadenopathy

Numeric (0 or 1). Cervical lymphadenopathy (>1.5 cm diameter), usually unilateral. (1 = Yes).

References

McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association. Circulation. 2017;135(17):e927-e999. doi:10.1161/CIR.0000000000000484

Examples

# Example 1: Complete KD
# Fever >= 5 days, 4 clinical signs
kawasaki_disease_criteria(1, 1, 1, 1, 1, 0)

# Example 2: Incomplete KD Suspected
# Fever >= 5 days, 2 clinical signs
kawasaki_disease_criteria(1, 1, 0, 1, 0, 0)

# Example 3: Criteria Not Met
# Fever < 5 days
kawasaki_disease_criteria(0, 1, 1, 1, 1, 1)