cliot (version 1.0.0)

pediatric_sepsis_criteria: Pediatric SIRS, Sepsis, and Septic Shock Criteria

Description

Evaluates the 2005 International Pediatric Sepsis Consensus Conference criteria for SIRS, Sepsis, Severe Sepsis, and Septic Shock. The calculation uses age-specific thresholds for heart rate, respiratory rate, and leukocyte count.

Usage

pediatric_sepsis_criteria(age_category, temp_c, heart_rate, respiratory_rate,
                          wbc_count, bands_percent, infection_suspected,
                          cardiovascular_dysfunction, ards_present,
                          multiple_organ_dysfunction)

Value

A list containing:

Diagnosis

The highest severity classification met (No SIRS, SIRS, Sepsis, Severe Sepsis, or Septic Shock).

Detailed_Results

Boolean values for each classification level.

Criteria_Met

Boolean values indicating which specific SIRS physiological criteria were abnormal.

Arguments

age_category

String. One of: "newborn_0_7d", "neonate_1w_1m", "infant_1m_1y", "child_2y_5y", "child_6y_12y", "adolescent_13y_18y".

temp_c

Numeric. Core temperature in degrees Celsius. (Abnormal: >38.5 or <36.0).

heart_rate

Numeric. Heart rate in beats per minute.

respiratory_rate

Numeric. Respiratory rate in breaths per minute.

wbc_count

Numeric. White Blood Cell count in x10^3/mm^3.

bands_percent

Numeric. Percentage of immature neutrophils (bands). (Abnormal: >10%).

infection_suspected

Numeric (0 or 1). Is there a suspected or proven infection? (1 = Yes).

cardiovascular_dysfunction

Numeric (0 or 1). Presence of cardiovascular dysfunction (e.g., hypotension, need for vasoactive drug, prolonged capillary refill). (1 = Yes).

ards_present

Numeric (0 or 1). Presence of Acute Respiratory Distress Syndrome (ARDS). (1 = Yes).

multiple_organ_dysfunction

Numeric (0 or 1). Presence of two or more other organ dysfunctions (respiratory, renal, neurologic, hematologic, hepatic). (1 = Yes).

References

Goldstein B, Giroir B, Randolph A; International Consensus Conference on Pediatric Sepsis. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med. 2005;6(1):2-8. doi:10.1097/01.PCC.0000149131.72248.E6

Examples

# Example 1: Septic Shock
# Child 3y, High HR, High WBC, Infection, CV dysfunction
pediatric_sepsis_criteria("child_2y_5y", 39.0, 150, 20, 16, 0, 1, 1, 0, 0)

# Example 2: SIRS only
# Adolescent, Fever, Tachycardia, No infection
pediatric_sepsis_criteria("adolescent_13y_18y", 39.0, 120, 14, 8, 0, 0, 0, 0, 0)