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Type 'q()' to quit R. > library(phoenix) > set.seed(1874) > > ################################################################################ > # respiratory > > respiratory <- expand.grid( + pfr = c(80, 100, 152, 200, 250, 400, 500, NA), + sfr = c(79, 148, 210, 220, 272, 292, 500, NA), + vent = c(0:1, NA), + o2 = c(0:1, NA) + ) > respiratory$expected_score <- 0L > respiratory$expected_score[respiratory$vent == 0 & respiratory$o2 == 0] <- 0L > respiratory$expected_score[(respiratory$vent == 1 | respiratory$o2 == 1) & (respiratory$pfr < 400 | respiratory$sfr < 292)] <- 1L > respiratory$expected_score[(respiratory$vent == 1) & ((respiratory$pfr >= 100 & respiratory$pfr < 200) | (respiratory$sfr >= 148 & respiratory$sfr < 220))] <- 2L > respiratory$expected_score[(respiratory$vent == 1) & (respiratory$pfr < 100 | respiratory$sfr < 148)] <- 3L > > stopifnot(!any(is.na(respiratory$expected_score))) > stopifnot(all(respiratory$expected_score %in% 0:3)) > > ################################################################################ > # cardiovascular > cardiovascular <- + expand.grid(vasos = c(NA, 0:6), + lactate = c(NA, 3.2, 5, 7.8, 11, 14), + age = c(NA, 0.4, 1, 3, 12, 18, 24, 45, 60, 61, 144, 145), + map = c(NA, 16:52)) > > cardiovascular$vaso_score <- (cardiovascular$vasos > 0) + (cardiovascular$vasos > 1) > cardiovascular$lact_score <- (cardiovascular$lactate >= 5) + (cardiovascular$lactate >= 11) > cardiovascular$map_score <- with(cardiovascular, { + ( age < 1) * ((map < 17) + (map < 31)) + + (age >= 1 & age < 12) * ((map < 25) + (map < 39)) + + (age >= 12 & age < 24) * ((map < 31) + (map < 44)) + + (age >= 24 & age < 60) * ((map < 32) + (map < 45)) + + (age >= 60 & age < 144) * ((map < 36) + (map < 49)) + + (age >= 144 ) * ((map < 38) + (map < 52)) + }) > > cardiovascular$vaso_score[is.na(cardiovascular$vaso_score)] <- 0 > cardiovascular$lact_score[is.na(cardiovascular$lact_score)] <- 0 > cardiovascular$map_score[is.na(cardiovascular$map_score)] <- 0 > > cardiovascular$expected_score <- + with(cardiovascular, { + as.integer(vaso_score + lact_score + map_score) + }) > > stopifnot(!any(is.na(cardiovascular$expected_score))) > stopifnot(all(cardiovascular$expected_score %in% 0:6)) > > ################################################################################ > # coagulation > > coagulation <- + expand.grid(plts = c(NA, 20, 100, 150), + inr = c(NA, 0.2, 1.3, 1.8), + ddmr = c(NA, 1.7, 2.0, 2.8), + fib = c(NA, 88, 100, 120)) > > coagulation$expected_score <- 0L > coagulation$expected_score[which(coagulation$plts < 100)] <- + coagulation$expected_score[which(coagulation$plts < 100)] + 1L > coagulation$expected_score[which(coagulation$inr > 1.3)] <- + coagulation$expected_score[which(coagulation$inr > 1.3)] + 1L > coagulation$expected_score[which(coagulation$ddmr > 2)] <- + coagulation$expected_score[which(coagulation$ddmr > 2)] + 1L > coagulation$expected_score[which(coagulation$fib < 100)] <- + coagulation$expected_score[which(coagulation$fib < 100)] + 1L > coagulation$expected_score <- pmin(coagulation$expected_score, 2L) > > stopifnot(!any(is.na(coagulation$expected_score))) > stopifnot(all(coagulation$expected_score %in% 0:2)) > > ################################################################################ > # neurologic > neurologic <- expand.grid(gcs = c(3:15, NA), pupils = c(0, 1, NA)) > neurologic$expected_score <- 0L > neurologic$expected_score[which(neurologic$gcs <= 10)] <- 1L > neurologic$expected_score[which(neurologic$pupils == 1)] <- 2L > > stopifnot(!any(is.na(neurologic$expected_score))) > stopifnot(all(neurologic$expected_score %in% 0:2)) > > ################################################################################ > # endocrine > endocrine <- data.frame(glc = c(NA, 12, 50, 55, 100, 150, 178)) > endocrine$expected_score <- 0L > endocrine$expected_score[which(endocrine$glc > 150)] <- 1L > endocrine$expected_score[which(endocrine$glc < 50)] <- 1L > > stopifnot(!any(is.na(endocrine$expected_score))) > stopifnot(all(endocrine$expected_score %in% 0:1)) > > ################################################################################ > # immunolgic > immunolgic <- expand.grid(anc = c(NA, 200, 500, 600), + alc = c(NA, 500, 1000, 2000)) > immunolgic$expected_score <- 0L > immunolgic$expected_score[which(immunolgic$anc < 500)] <- 1L > immunolgic$expected_score[which(immunolgic$alc < 1000)] <- 1L > > stopifnot(!any(is.na(immunolgic$expected_score))) > stopifnot(all(immunolgic$expected_score %in% 0:1)) > > ################################################################################ > # renal > renal <- expand.grid( + age = cardiovascular$age, + creatinine = c(NA, seq(0.0, 1.1, by = 0.1))) > renal$expected_score <- 0L > renal$expected_score[which( renal$age < 1 & renal$creatinine >= 0.8)] <- 1L > renal$expected_score[which( 1 <= renal$age & renal$age < 12 & renal$creatinine >= 0.3)] <- 1L > renal$expected_score[which( 12 <= renal$age & renal$age < 24 & renal$creatinine >= 0.4)] <- 1L > renal$expected_score[which( 24 <= renal$age & renal$age < 60 & renal$creatinine >= 0.6)] <- 1L > renal$expected_score[which( 60 <= renal$age & renal$age < 144 & renal$creatinine >= 0.7)] <- 1L > renal$expected_score[which(144 <= renal$age & renal$creatinine >= 1.0)] <- 1L > > stopifnot(!any(is.na(renal$expected_score))) > stopifnot(all(renal$expected_score %in% 0:1)) > > ################################################################################ > # hepatic > hepatic <- expand.grid(bil = c(NA, 3.2, 4.0, 4.3), alt = c(NA, 99, 102, 106)) > hepatic$expected_score <- 0L > hepatic$expected_score[which(hepatic$bil >= 4)] <- 1L > hepatic$expected_score[which(hepatic$alt > 102)] <- 1L > > stopifnot(!any(is.na(hepatic$expected_score))) > stopifnot(all(hepatic$expected_score %in% 0:1)) > > ################################################################################ > # Verify each component score > respiratory$phoenix_resp <- + phoenix_respiratory(pf_ratio = pfr, sf_ratio = sfr, imv = vent, other_respiratory_support = o2, data = respiratory) > > cardiovascular$phoenix_card <- + phoenix_cardiovascular(vasoactives = vasos, lactate = lactate, age = age, map = map, data = cardiovascular) > > coagulation$phoenix_coag <- + phoenix_coagulation(platelets = plts, inr = inr, d_dimer = ddmr, fibrinogen = fib, data = coagulation) > > neurologic$phoenix_neur <- + phoenix_neurologic(gcs = gcs, fixed_pupils = pupils, data = neurologic) > > endocrine$phoenix_endo <- + phoenix_endocrine(glucose = glc, data = endocrine) > > immunolgic$phoenix_immu <- + phoenix_immunologic(anc = anc, alc = alc, data = immunolgic) > > renal$phoenix_renal <- + phoenix_renal(creatinine = creatinine, age = age, data = renal) > > hepatic$phoenix_hep <- + phoenix_hepatic(bilirubin = bil, alt = alt, data = hepatic) > > stopifnot(identical(respiratory$expected_score, respiratory$phoenix_resp)) > stopifnot(identical(cardiovascular$expected_score, cardiovascular$phoenix_card)) > stopifnot(identical(coagulation$expected_score, coagulation$phoenix_coag)) > stopifnot(identical(neurologic$expected_score, neurologic$phoenix_neur)) > stopifnot(identical(endocrine$expected_score, endocrine$phoenix_endo)) > stopifnot(identical(immunolgic$expected_score, immunolgic$phoenix_immu)) > stopifnot(identical(renal$expected_score, renal$phoenix_renal)) > stopifnot(identical(hepatic$expected_score, hepatic$phoenix_hep)) > > ################################################################################ > # test the total score > # > # NOTE: because age is part of both cardiovascular and renal scoring make sure > # to get rows with the same age from both sets: > > N <- 1e5 > DF <- + list(respiratory, cardiovascular, coagulation, neurologic, endocrine, immunolgic, hepatic) > DF <- + lapply(DF, + function(x) { + idx <- sample(1:nrow(x), size = N, replace = TRUE) + rtn <- x[idx, ] + rtn <- rtn[, -which(names(rtn) == "expected_score")] + rtn + }) > DF <- do.call(cbind, args = DF) > > DF$creatinine <- NA > DF$phoenix_renal <- NA > > for (a in unique(DF$age)) { + temp_renal <- renal[renal$age %in% a, c("creatinine", "phoenix_renal")] + temp_renal <- temp_renal[sample(1:nrow(temp_renal), size = sum(a %in% DF$age), replace = TRUE), ] + DF$creatinine[DF$age %in% a] <- temp_renal$creatinine + DF$phoenix_renal[DF$age %in% a] <- temp_renal$phoenix_renal + } > > expected_phoenix8 <- + data.frame(phoenix_respiratory_score = DF$phoenix_resp, + phoenix_cardiovascular_score = DF$phoenix_card, + phoenix_coagulation_score = DF$phoenix_coag, + phoenix_neurologic_score = DF$phoenix_neur, + phoenix_sepsis_score = DF$phoenix_resp + DF$phoenix_card + DF$phoenix_coag + DF$phoenix_neur, + phoenix_sepsis = as.integer(DF$phoenix_resp + DF$phoenix_card + DF$phoenix_coag + DF$phoenix_neur > 1), + phoenix_septic_shock = as.integer((DF$phoenix_card > 0) & (DF$phoenix_resp + DF$phoenix_card + DF$phoenix_coag + DF$phoenix_neur > 1)), + phoenix_endocrine_score = DF$phoenix_endo, + phoenix_immunologic_score = DF$phoenix_immu, + phoenix_renal_score = DF$phoenix_renal, + phoenix_hepatic_score = DF$phoenix_hep, + phoenix8_sepsis_score = DF$phoenix_resp + DF$phoenix_card + DF$phoenix_coag + DF$phoenix_neur + + DF$phoenix_endo + DF$phoenix_immu + DF$phoenix_renal + DF$phoenix_hep + ) > > realized_phoenix <- + phoenix(pf_ratio = pfr, + sf_ratio = sfr, + imv = vent, + other_respiratory_support = o2, + vasoactives = vasos, + lactate = lactate, + map = map, + platelets = plts, + inr = inr, + d_dimer = ddmr, + fibrinogen = fib, + gcs = gcs, + fixed_pupils = pupils, + age = age, + data = DF) > > stopifnot(identical(ncol(realized_phoenix), 7L)) > stopifnot(identical(names(realized_phoenix), + c("phoenix_respiratory_score", "phoenix_cardiovascular_score", + "phoenix_coagulation_score", "phoenix_neurologic_score", + "phoenix_sepsis_score", "phoenix_sepsis", "phoenix_septic_shock"))) > > stopifnot( + all.equal( + expected_phoenix8[, 1:7] + , + realized_phoenix + ) + ) > > realized_phoenix8 <- + phoenix8(pf_ratio = pfr, + sf_ratio = sfr, + imv = vent, + other_respiratory_support = o2, + vasoactives = vasos, + lactate = lactate, + map = map, + platelets = plts, + inr = inr, + d_dimer = ddmr, + fibrinogen = fib, + gcs = gcs, + fixed_pupils = pupils, + glucose = glc, + anc = anc, + alc = alc, + creatinine = creatinine, + bilirubin = bil, + alt = alt, + age = age, + data = DF) > > stopifnot(identical(ncol(realized_phoenix8), 12L)) > stopifnot(identical(names(realized_phoenix8), + c("phoenix_respiratory_score", "phoenix_cardiovascular_score", + "phoenix_coagulation_score", "phoenix_neurologic_score", + "phoenix_sepsis_score", "phoenix_sepsis", "phoenix_septic_shock", + "phoenix_endocrine_score", "phoenix_immunologic_score", + "phoenix_renal_score", "phoenix_hepatic_score", + "phoenix8_sepsis_score"))) > > stopifnot( + all.equal( + expected_phoenix8 + , + realized_phoenix8 + ) + ) > > # verify that the result are the same when called differently > resp_a <- phoenix_respiratory(pf_ratio = pfr, sf_ratio = sfr, imv = vent, other_respiratory_support = o2, data = DF) > resp_b <- with(DF, phoenix_respiratory(pf_ratio = pfr, sf_ratio = sfr, imv = vent, other_respiratory_support = o2)) > x1 <- DF$pfr; x2 <- DF$sfr; x3 <- DF$vent; x4 <- DF$o2 > resp_c <- phoenix_respiratory(x1, x2, x3, x4) > stopifnot(identical(resp_a, resp_b)) > stopifnot(identical(resp_a, resp_c)) > > # phoenix > p_a <- phoenix(pf_ratio = pfr, sf_ratio = sfr, imv = vent, other_respiratory_support = o2, vasoactives = vasos, lactate = lactate, map = map, platelets = plts, inr = inr, d_dimer = ddmr, fibrinogen = fib, gcs = gcs, fixed_pupils = pupils, glucose = glc, anc = anc, alc = alc, creatinine = creatinine, bilirubin = bil, alt = alt, age = age, data = DF) > p8_a <- phoenix8(pf_ratio = pfr, sf_ratio = sfr, imv = vent, other_respiratory_support = o2, vasoactives = vasos, lactate = lactate, map = map, platelets = plts, inr = inr, d_dimer = ddmr, fibrinogen = fib, gcs = gcs, fixed_pupils = pupils, glucose = glc, anc = anc, alc = alc, creatinine = creatinine, bilirubin = bil, alt = alt, age = age, data = DF) > > p_b <- with(DF, phoenix(pf_ratio = pfr, sf_ratio = sfr, imv = vent, other_respiratory_support = o2, vasoactives = vasos, lactate = lactate, map = map, platelets = plts, inr = inr, d_dimer = ddmr, fibrinogen = fib, gcs = gcs, fixed_pupils = pupils, glucose = glc, anc = anc, alc = alc, creatinine = creatinine, bilirubin = bil, alt = alt, age = age)) > p8_b <- with(DF, phoenix8(pf_ratio = pfr, sf_ratio = sfr, imv = vent, other_respiratory_support = o2, vasoactives = vasos, lactate = lactate, map = map, platelets = plts, inr = inr, d_dimer = ddmr, fibrinogen = fib, gcs = gcs, fixed_pupils = pupils, glucose = glc, anc = anc, alc = alc, creatinine = creatinine, bilirubin = bil, alt = alt, age = age)) > > x1 <- DF$pfr; x2 <- DF$sfr; x3 <- DF$vent; x4 <- DF$o2 > x5 <- DF$vasos; x6 <- DF$lactate; x7 <- DF$map > x8 <- DF$plts; x9 <- DF$inr; x10 <- DF$ddmr; x11 <- DF$fib; > x12 <- DF$gcs; x13 <- DF$pupils; > x14 <- DF$glc; x15 <- DF$anc; x16 <- DF$alc; x17 <- DF$creatinine; > x18 <- DF$bil; x19 <- DF$alt; x20 <- DF$age > > p_c <- phoenix(x1, x2, x3, x4, + x5, x6, x7, + x8, x9, x10, x11, + x12, x13, x20) > p8_c <- phoenix8(x1, x2, x3, x4, x5, x6, x7, x8, x9, x10, x11, x12, x13, x14, x15, x16, x17, x18, x19, x20) > > stopifnot(identical(p_a, p_b)) > stopifnot(identical(p_a, p_c)) > stopifnot(identical(p8_a, p8_b)) > stopifnot(identical(p8_a, p8_c)) > > stopifnot(identical(p_a, p8_a[, 1:7])) > stopifnot(identical(p_a, p8_b[, 1:7])) > stopifnot(identical(p_a, p8_c[, 1:7])) > > ################################################################################ > # End of File # > ################################################################################ > > proc.time() user system elapsed 2.04 0.31 2.36