Sepsis can present in many different ways. Many professionals recognize
sepsis’ presentation, but the literature is undecided when it comes to
an exact clinical definition. The purpose of this package is to provide
functions in order to make the process of identifying and analyzing
sepsis patient data easier. assess_organ
is the main function of this
package; it allows you to assess organ failure using one of the three
common organ failure scores, SIRS, SOFA, and qSOFA. Currently, all score
vital thresholds are based off the MD Calc Website. Please view the
description file to see MD Calc references for individual organ failure
scores. This package also has a few helper functions including
find_bx_window
and find_qad
, from the CDC (Centers for Disease and
Control) definition of Sepsis. This package is not in anyway supported
by the CDC or Emory Healthcare.
Get the development version from GitHub with:
# install.packages("devtools")
devtools::install_github("trentgillin/Sepsis")
This is a basic example which shows you how to solve a common problem:
library(SepsisR)
assess_organ(sirs_data, method = "SIRS",
patientid = Encounter,
time = Service_Timestamp,
vitals = c("RR" = "RR",
"WBC" = "Wbc",
"Temperature" = "Temperature",
"HR" = "HR"))
#> # A tibble: 9 × 7
#> Encounter Service_Timestamp HR Temperature RR Wbc sirs_total
#> <dbl> <dttm> <dbl> <dbl> <dbl> <dbl> <dbl>
#> 1 1 2018-12-11 08:00:00 120 31 20 5000 2
#> 2 1 2018-12-11 08:30:00 72 31 20 5000 1
#> 3 1 2018-12-11 09:00:00 85 33 21 5000 2
#> 4 1 2018-12-11 09:30:00 90 31 22 5000 2
#> 5 1 2018-12-11 10:00:00 111 31 20 5000 2
#> 6 1 2018-12-11 10:30:00 64 32 20 5000 1
#> 7 1 2018-12-11 11:00:00 70 38 20 5000 0
#> 8 1 2018-12-11 11:30:00 75 33 20 5000 1
#> 9 1 2018-12-11 12:00:00 81 31 20 5000 1
“Sequential Organ Failure Assessment (SOFA)” Vincent, https://www.mdcalc.com/sequential-organ-failure-assessment-sofa-score
“Quick Sequential Organ Failure Assessment (qSOFA)” Seymour, https://www.mdcalc.com/qsofa-quick-sofa-score-sepsis
“Systematic Inflammatory Response Syndrome (SIRS)” Balk, https://www.mdcalc.com/sirs-sepsis-septic-shock-criteria.
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