sex_shock_score: SEX-SHOCK Risk Score for Cardiogenic Shock in ACS

In cliot: Clinical Indices and Outcomes Tools

SEX-SHOCK Risk Score for Cardiogenic Shock in ACS

Description

Calculates the SEX-SHOCK Risk Score to predict the risk of developing in-hospital cardiogenic shock (CS) in patients admitted with Acute Coronary Syndrome (ACS) treated with PCI. This score was developed to address sex-specific disparities in risk prediction, outperforming the ORBI score in women by incorporating biomarkers (CRP, Creatinine) and LVEF alongside traditional factors.

Usage

sex_shock_score(sex, age, st_segment_elevation, lvef_category, creatinine, crp,
                creatinine_units = "mg/dL")

Arguments

sex	String. Patient sex ("Male" or "Female").
age	Numeric. Patient age in years.
st_segment_elevation	Numeric (0 or 1). Presence of ST-segment elevation on presenting ECG (i.e., STEMI). (1 = Yes).
lvef_category	String. Left Ventricular Ejection Fraction category. "lt_35": < 35%. "35_50": 35-50%. "gt_50": > 50%.
creatinine	Numeric. Serum creatinine level on admission.
crp	Numeric. C-Reactive Protein level on admission (mg/L).
creatinine_units	String. Units for creatinine input. Options: "mg/dL" (default) or "umol/L".

Value

A list containing:

Inputs	A summary of the patient variables provided for risk stratification.
Message	Information regarding the model source (Wang et al., 2024).

References

Wang W, et al. Sex-specific prediction of cardiogenic shock after acute coronary syndromes: the SEX-SHOCK score. Eur Heart J. 2024. doi:10.1093/eurheartj/ehae593

Examples

# Example: 65yo Female with STEMI, LVEF 40%, Cr 1.0, CRP 15
sex_shock_score("female", 65, 1, "35_50", 1.0, 15, "mg/dL")

cliot documentation built on Dec. 1, 2025, 1:06 a.m.