Goldstein 2005 pediatric SIRS from age-group HR, RR, WBC, and core temperature

Goldstein 2005 pediatric SIRS from age-group HR, RR, WBC, and core temperature. Present when ≥2 of 4 Table 3 criteria include abnormal temperature (>38.5 or <36 C) or leukocyte. Sepsis is SIRS plus suspected infection; severe sepsis and septic shock use caller-assigned organ-dysfunction flags. magent does not measure vitals or assay WBC. Not Bone 1992 adult SIRS and not Phoenix 2024. Not a medical device and not a diagnosis or sepsis order.

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Endpoint

POST https://api.magentlab.com/api/calc/pediatric_sirs

Our checks, last 30 days

Example input (from the provider)

{
  "body": {
    "items": [
      {
        "age_group": "school_age",
        "ards": false,
        "band_percent": 5,
        "cardiovascular_dysfunction": false,
        "heart_rate_bpm": 100,
        "mechanical_ventilation": false,
        "respiratory_rate": 16,
        "suspected_infection": false,
        "temperature_c": 37,
        "two_or_more_other_organ_dysfunctions": false,
        "wbc_k_ul": 8,
        "wbc_ul": 8000
      },
      {
        "age_group": "school_age",
        "ards": false,
        "band_percent": 5,
        "cardiovascular_dysfunction": false,
        "heart_rate_bpm": 100,
        "mechanical_ventilation": false,
        "respiratory_rate": 16,
        "suspected_infection": false,
        "temperature_c": 37,
        "two_or_more_other_organ_dysfunctions": false,
        "wbc_k_ul": 8,
        "wbc_ul": 8000
      }
    ]
  },
  "method": "POST",
  "type": "http"
}

Promised output schema (from the provider)

{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "properties": {
    "input": {
      "additionalProperties": false,
      "properties": {
        "body": {
          "additionalProperties": false,
          "properties": {
            "items": {
              "items": {
                "properties": {
                  "age_group": {
                    "description": "Goldstein 2005 Table 1 age group. One of: newborn (0 days to 1 week; HR >180 or <100, RR >50, WBC >34 k/\u00b5L), neonate (1 week to 1 month; HR >180 or <100, RR >40, WBC >19.5 or <5), infant (1 month to 1 year; HR >180 or <90, RR >34, WBC >17.5 or <5), toddler_preschool (2-5 years; HR >140, RR >22, WBC >15.5 or <6), school_age (6-12 years; HR >130, RR >18, WBC >13.5 or <4.5), adolescent (13-18 years; HR >110, RR >14, WBC >11 or <4.5). magent does not map chronological age (the paper has a 1-2 year gap).",
                    "type": "string"
                  },
                  "ards": {
                    "description": "Caller-assigned acute respiratory distress syndrome as used for severe sepsis in Goldstein 2005 Table 2. true or false. magent does not interpret imaging or PaO2/FiO2.",
                    "type": "boolean"
                  },
                  "band_percent": {
                    "description": "Immature neutrophils as a percent of WBC (0-100) when provided. Omitted does not use bands. >10 meets the leukocyte criterion (10 does not). magent does not assay bands.",
                    "type": "number"
                  },
                  "cardiovascular_dysfunction": {
                    "description": "Caller-assigned cardiovascular organ dysfunction as in Goldstein 2005 Table 4. With SIRS and suspected_infection, this is septic shock (and severe sepsis). true or false. magent does not apply Table 4 from raw labs or blood pressure.",
                    "type": "boolean"
                  },
                  "heart_rate_bpm": {
                    "description": "Heart rate in beats/min (integer 30-300). Meets when greater than the age-group tachycardia cutoff, or when less than the bradycardia cutoff for newborn, neonate, or infant only (Goldstein 2005 Table 3). Equal to the cutoff does not meet. magent does not measure heart rate.",
                    "type": "integer"
                  },
                  "mechanical_ventilation": {
                    "description": "Caller-assigned mechanical ventilation for an acute process not related to underlying neuromuscular disease or general anesthesia (Goldstein 2005 Table 2 respiratory criterion). true meets the respiratory criterion. Omitted is false. true or false. magent does not examine ventilation.",
                    "type": "boolean"
                  },
                  "respiratory_rate": {
                    "description": "Respiratory rate in breaths/min (integer 4-120). Meets when greater than the age-group cutoff (Goldstein 2005 Table 3). Equal to the cutoff does not meet. Optional mechanical_ventilation also meets this criterion. magent does not measure respiratory rate.",
                    "type": "integer"
                  },
                  "suspected_infection": {
                    "description": "Caller-assigned suspected or proven infection (Goldstein 2005 Table 2). Sepsis requires SIRS and this true. true or false. magent does not diagnose infection.",
                    "type": "boolean"
                  },
                  "temperature_c": {
                    "description": "Core temperature in \u00b0C (30.0-45.0), rectal, bladder, oral, or central-catheter probe as in Goldstein 2005. >38.5 or <36 meets the temperature criterion (38.5 and 36.0 do not). Not Bone 1992 adult >38. magent does not measure temperature.",
                    "type": "number"
                  },
                  "two_or_more_other_organ_dysfunctions": {
                    "description": "Caller-assigned two or more other organ dysfunctions (respiratory, renal, neurologic, hematologic, or hepatic per Goldstein 2005 Table 2/4) for severe sepsis when cardiovascular dysfunction and ARDS are absent. true or false. magent does not apply Table 4 from raw labs.",
                    "type": "boolean"
                  },
                  "wbc_k_ul": {
                    "description": "WBC in 10^3/\u00b5L (same as 10^3/mm^3 in Goldstein 2005 Table 3). Provide wbc_k_ul or wbc_ul. Range 0.01-500. Meets when greater than the age-group high cutoff or less than the low cutoff (newborn has high-only; no leukopenia bound). Equal to a cutoff does not meet. magent does not assay WBC.",
                    "type": "number"
                  },
                  "wbc_ul": {
                    "description": "WBC in cells/\u00b5L. Provide wbc_k_ul or wbc_ul. Range 10-500000. Converted to 10^3/\u00b5L for Table 3 cutoffs. magent does not assay WBC.",
                    "type": "number"
                  }
                },
                "required": [
                  "age_group",
                  "temperature_c",
                  "heart_rate_bpm",
                  "respiratory_rate",
                  "suspected_infection",
                  "cardiovascular_dysfunction",
                  "ards",
                  "two_or_more_other_organ_dysfunctions"
                ],
                "type": "object"
              },
              "maxItems": 25,
              "minItems": 1,
              "type": "array"
            }
          },
          "required": [
            "items"
          ],
          "type": "object"
        },
        "headers": {
          "additionalProperties": {
            "type": "string"
          },
          "type": "object"
        },
        "method": {
          "const": "POST",
          "type": "string"
        },
        "type": {
          "const": "http",
          "type": "string"
        }
      },
      "required": [
        "type",
        "method"
      ],
      "type": "object"
  

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