function [APACHE_SCORE]=apacheII_score(varargin) % [APACHE_SCORE]=apache_score(tm,category,val,truncated) % % Calculates APACHE scores. Variables are: % %tm - (Nx1 Cell Array) Cell array containing time of measurement %category- (Nx1 Cell Array) Cell array containing type (category) % measurement %value - (Nx1 Cell Array) Cell array containing value of measurement %truncated - (Logical) Optional flag, if true, will attempt to calculate % "truncated" APACHE even if some of the input variables are % missing. Default is 0 (false) . % SAP_SCORE - (Scalar) Value between 0 and 56 representing the severity of % the patient's status (higher scores are worse). A NaN % value is returned along with a warning message if the APACHE % score cannot be calculated. % % Jakub Kuzilek, 2012 % % Based on Ikaro Silva saps_score function. % % Version 1.0 truncated=0; inputs={'tm','category','val','truncated'}; for n=1:nargin if(~isempty(varargin{n})) eval([inputs{n} '=varargin{n};']) end end if iscell(val) for m = 1:length(val) val{m} = str2num(val{m}); end val=cell2mat(val); end %APACHE variable names APACHE={{'Age'},{'Temp'},{'NIMAP'},{'HR'},{'RespRate','MechVent'},... {'PaO2','FiO2'},{'pH'},{'Na'},{'K'},{'Creatinine'},{'HCT'},... {'WBC'},{'GCS'}}; MX_APACHE=56; %Max APACHE value %Convert APACHE info into tables [min range, max range, APACHE score;...] %Also convert the units in the table to match the units of the data Age = [0,44,0;45,54,2;55,64,3;65,74,5;75,200,6]; Temp=[41,50,4;39,40.9,3;38.5,38.9,1;36,38.4,0;34,35.9,1;32,33.9,2;30,31.9,3;0,29.9,4]; NIMAP = [160,400,4;130,159,3;110,129,2;70,109,0;50,69,2;0,49,4]; HR=[180,250,4; 140,179,3;110,139,2;70,109,0;55,69,2;40,54,3;0,39,4]; RespRate=[50,80,4;35,49,3;25,34,2;12,24,0;10,11,1;6,9,2;0,5,4]; MechVent=49; %Equivalent to a RespRate that will yield a APACHE value of 3 FiO2 = 2; PaO2 = [70,1000,0;61,69,1;55,60,3;0,54,4]; pH = [7.7,14,4;7.6,7.69,3;7.5,7.59,1;7.33,7.49,0;7.25,7.32,2;7.15,7.24,3;0,7.14,4]; Na=[180,1000,4;160,179,3;155,159,2;150,154,1;130,149,0;120,129,2;111,119,3;0,110,4]; K=[7,100,4;6,6.9,3;5.5,5.9,1;3.5,5.4,0;3,3.4,1;2.5,2.9,2;0,2.4,4]; Creatinine = [3.5,20,4;2,3.4,3;1.5,1.9,2;0.6,1.4,0;0,0.59,2]; HCT =[60,1000,4;50,59.9,2;46,49.9,1;30,45.9,0;20,29.9,2;0,19.9,4]; WBC=[40001,100000;20001,40000;15001,20000;3000,15000;1000,2999;0,999]/1000; WBC(:,3)=[4;2;1;0;2;4]; GCS=[3,3,12;4,4,11;5,5,10;6,6,9;7,7,8;8,8,7;9,9,6;10,10,5;11,11,4;12,12,3;13,13,2;14,14,1;15,15,0]; %Only use data for the first 24 hrs (standard APACHE II) tm=cell2mat(tm); fr_data=find(str2num(tm(:,1:2))<24); val=val(fr_data); tm=tm(fr_data); category=category(fr_data); %Loop through all APACHE variables, adding risk points to APACHE_SCORE according to their tables APACHE_SCORE=NaN; for s=1:length(APACHE) %Get data for the selected category only (If more than one name exist for the variables, merge data) apache_var=APACHE{s}; sig_ind= val.*0; eval(['table=' regexprep(apache_var{1},' ','_') ';']) for i=1:length(apache_var) sig_ind=sig_ind | strcmp(apache_var(i),category); end tmp_data=val(sig_ind); if(strcmp(apache_var{1},'RespRate')) %For Respiration, check Mechanical Ventilation flag %If subject is on ventillation, this is equivalent to having a %RespRate that will yield a APACHE value of 3 tmp_category=category(sig_ind); mech_vent_ind=find(strcmp(apache_var(2),tmp_category)==1); if(~isempty(mech_vent_ind) && any(mech_vent_ind)) tmp_data=MechVent; end end if(strcmp(apache_var{1},'PaO2')) %For Respiration, check Mechanical Ventilation flag %If subject is on ventillation, this is equivalent to having a %RespRate that will yield a APACHE value of 3 tmp_category=category(sig_ind); FIO2_ind = find(strcmp(apache_var(2),tmp_category)==1); if(~isempty(FIO2_ind) && any(FIO2_ind)) if(max(val(FIO2_ind)) >= 0.5) tmp_data=FiO2; end end end %Set out of bound values to NaN tmp_data(tmp_data < min(table(:,1)))=NaN; tmp_data(tmp_data > max(table(:,2)))=NaN; %Get the lowest and highest values for the measured variable if(all(isnan(tmp_data)) || isempty(tmp_data)) if(~truncated) warning(['No APACHE score for variable ' apache_var{:} '... exiting.']) APACHE_SCORE=NaN; break else warning(['No variable ' apache_var{:} '... attempting truncated APACHE.']) end else mn=nanmin(tmp_data); mn_apache_ind=find( ( mn(1) >= table(:,1) & mn(1) <= table(:,2) ) ==1); mn_apache_val=table(mn_apache_ind,3); if isempty(mn_apache_val), mn_apache_val = 0; end mx=nanmax(tmp_data); mx_apache_ind=find( ( mx(1) >= table(:,1) & mx(1) <= table(:,2) ) ==1); mx_apache_val=table(mx_apache_ind,3); if isempty(mx_apache_val), mx_apache_val = 0; end %Add worst case scenario to APACHE SCORE if(isnan(APACHE_SCORE)) APACHE_SCORE= nanmax(mn_apache_val,mx_apache_val); else APACHE_SCORE= APACHE_SCORE + nanmax(mn_apache_val,mx_apache_val); end end end