cliot (version 1.0.0)

shanghai_pancreatitis_score: Shanghai Score for Severe Acute Pancreatitis

Description

Calculates the Shanghai Score to predict the risk of Severe Acute Pancreatitis (SAP). This scoring system uses simple, objective clinical and laboratory parameters available within 24 hours of admission to stratify patients into low or high risk categories.

Usage

shanghai_pancreatitis_score(bmi, age, pleural_effusion, hematocrit,
                            creatinine, ldh, creatinine_units = "mg/dL")

Value

A list containing:

Shanghai_Score

The calculated total score (Range 0-6).

Risk_Category

Interpretation of risk (Low Risk < 2, High Risk >= 2).

Arguments

bmi

Numeric. Body Mass Index in kg/m^2. (>= 25 adds 1 point).

age

Numeric. Patient age in years. (>= 60 adds 1 point).

pleural_effusion

Numeric (0 or 1). Presence of pleural effusion on imaging (CXR or CT). (1 = Yes, adds 1 point).

hematocrit

Numeric. Hematocrit percentage on admission. (>= 46% adds 1 point).

creatinine

Numeric. Serum creatinine on admission. (>= 1.6 mg/dL adds 1 point).

ldh

Numeric. Lactate Dehydrogenase level in U/L on admission. (>= 340 U/L adds 1 point).

creatinine_units

String. Units for creatinine input. Options: "mg/dL" (default) or "umol/L".

References

Liu Y, et al. A simple scoring system to predict the severity of acute pancreatitis. World J Gastroenterol. 2017;23(44):7847-7853. doi:10.3748/wjg.v23.i44.7847

Examples

# Example 1: High Risk
# BMI 28 (+1), Age 65 (+1), Pleural Effusion (+1), Hct 48 (+1), Cr 1.8 (+1), LDH 400 (+1)
# Score = 6
shanghai_pancreatitis_score(28, 65, 1, 48, 1.8, 400)

# Example 2: Low Risk
# BMI 22, Age 40, No effusion, Hct 40, Cr 0.8, LDH 200
# Score = 0
shanghai_pancreatitis_score(22, 40, 0, 40, 0.8, 200)