cliot (version 1.0.0)

nirudak_score: NIRUDAK Score for Dehydration in Children

Description

Calculates the NIRUDAK (Novel Innovative Research Understanding Dehydration) Score, a clinical prediction rule to assess the severity of dehydration in children. The score uses a combination of six easily assessable clinical signs to predict significant dehydration (e.g., \(\ge\) 5% weight loss).

Usage

nirudak_score(crt_seconds, tachycardia_present, lethargy_coma, dry_mucous_membranes,
              cold_mottled_extremities, sunken_eyes)

Value

A list containing:

NIRUDAK_Score

The calculated total score (Range 0-10).

Risk_Level

Risk stratification (Low < 3, Moderate 3-5, High \(\ge\) 6).

Arguments

crt_seconds

Numeric. Capillary Refill Time (CRT) in seconds. (\(\ge\) 3 seconds adds 2 points).

tachycardia_present

Numeric (0 or 1). Presence of tachycardia (Heart Rate greater than the 90th percentile for age). (1 = Yes, +2 points).

lethargy_coma

Numeric (0 or 1). Altered mental status (lethargy or comatose). (1 = Yes, +2 points).

dry_mucous_membranes

Numeric (0 or 1). Dry mucous membranes (DMM) present. (1 = Yes, +1 point).

cold_mottled_extremities

Numeric (0 or 1). Presence of cold or mottled extremities. (1 = Yes, +2 points).

sunken_eyes

Numeric (0 or 1). Sunken eyes present. (1 = Yes, +1 point).

References

Jackson MC, et al. A clinical prediction rule for significant dehydration in children: The NIRUDAK score. Lancet. 2018;391(10116):159-166.

Examples

# Example 1: High Risk (Severe Dehydration Likely)
# CRT 4s (+2), Tachycardia (+2), Cold Extremities (+2)
# Score = 6
nirudak_score(4, 1, 0, 0, 1, 0)

# Example 2: Low Risk
# CRT 2s, No tachycardia, Dry Mucous Membranes (+1)
# Score = 1
nirudak_score(2, 0, 0, 1, 0, 0)