function [APACHE_SCORE]=apacheIII_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'},{'HR'},{'NIMAP'},{'Temp'},{'RespRate','MechVent'},... {'PaO2','FiO2'},{'HCT'},{'WBC'},{'Creatinine'},{'Urine'},{'BUN'},{'Na'},... {'Albumin'},{'Bilirubin'},{'Glucose'},{'pH','PaCO2'}}; 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;45,59,5;60,64,11;65,69,13;70,74,16;75,84,17;85,200,24]; %HR=[140,1000,10;130,139,9;120,129,7; 100,119,4;80,99,0;70,79,6;60,69,7;40,59,15;0,39,8];%ERR HR = [0,39,8;40,49,5;50,99,0;100,109,1;110,119,5;120,139,7;140,154,13;155,1000,17];% by Tade %NIMAP = [160,400,4;130,159,3;110,129,2;70,109,0;50,69,2;0,49,4];%ERR NIMAP = [0,39,23;40,59,15;60,69,7;70,79,6;80,99,0;100,119,4;120,129,7;130,139,9;140,1000,10]; %by Tade % Temp = [40,50,10;36,36.9,0;35,35.9,2;34,34.9,8;33.5,33.9,13;33,33.4,16;30,32.9,20]; Temp = [40,50,4;36,36.9,0;35,35.9,2;34,34.9,8;33.5,33.9,13;33,33.4,16;30,32.9,20]; %by Tade 'inverse' %RespRate=[50,2000,18;40,49,11;35,39,9;25,34,6;14,24,0;11,13,7;6,10,8;0,5,17]; RespRate=[50,2000,18;40,49,11;35,39,9;25,34,6;14,24,0;12,13,7;6,11,8;0,5,17];%by Tade 'inverse' MechVent=49; %Equivalent to a RespRate that will yield a APACHE value of 3 FiO2 = 49; PaO2 = [80,1000,0;70,79,2;50,69,5;0,49,15]; %'inverse' HCT =[0,40.9,3;41,49,0;50,1000,3]; WBC=[0,1;1.1,2.9;3,19.9;20,24.9;25,100000]; WBC(:,3)=[19;5;0;1;5]; Creatinine = [0,0.4,3;0.5,1.4,0;1.5,1.94,4;1.95,1000,7]; Urine = [0,399,15;400,599,8;600,899,7;900,1499,5;1500,1999,4;2000,3999,0;4000,50000,1]; BUN = [0,16.9,0;17,19,2;20,39,7;40,79,11;80,1000,12]; Na=[0,119,3;120,134,2;135,154,0;155,10000,4]; Albumin = [0,1.9,11;2,2.4,6;2.5,4.4,0;4.5,1000,4]; Bilirubin = [0,1.9,0;2,2.9,5;3,4.9,6;5,7.9,8;8,1000,16]; Glucose = [0,39,8;40,59,9;60,199,0;200,349,3;350,10000,5]; pH = [0,7.19,1;7.2,7.29,2;7.3,7.34,3;7.35,7.44,4;7.45,7.49,5;7.5,7.65,6;7.65,1000,7]; PaCO2 = [0,24.9,1;25,29.9,2;30,34.9,3;35,44.9,4;45,49.9,5;50,1000,6]; pHPaCO2 = [12 12 12 12 12 4; 9 9 6 3 3 2; 9 9 0 0 1 1; 5 5 0 0 1 1; 5 5 0 2 12 12; 3 3 3 12 12 12; 0 3 3 12 12 12]; %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=[]; end end end if(strcmp(apache_var{1},'pH')) %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); indx = find(sig_ind); pH_ind = find(strcmp(apache_var(1),tmp_category)==1); PaCO2_ind = find(strcmp(apache_var(2),tmp_category)==1); if(~isempty(PaCO2_ind) && any(PaCO2_ind) && ~isempty(pH_ind) && any(pH_ind)) tmp_data = []; for m = 1:length(pH_ind) for n = 1:length(PaCO2_ind) tmp_data(end+1) = pHPaCO2(pH(find(val(indx(pH_ind(m))) >= pH(:,1) & val(indx(pH_ind(m))) <= pH(:,2),1),3),PaCO2(find(val(indx(PaCO2_ind(n))) >= PaCO2(:,1) & val(indx(PaCO2_ind(n))) <= PaCO2(:,2),1),3)); end end tmp_data = tmp_data'; 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 if(~strcmp(apache_var{1},'pH')) 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 else mn_apache_val = nanmin(tmp_data); mx_apache_val = nanmax(tmp_data); 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