p_pass {transplantr}

P-PASS pre-procurement pancreas suitability score

Description

A vectorised function to calculate the P-PASS pre-procurement pancreas allocation suitability score used in the Eurotransplant area. The score are between 9 and 27, and in a study published by Vinkers et al. in 2008, pancreata with P-PASS score less than 17 were three times more likely to be transplanted than those with scores of 17 or more.

Usage

p_pass(age, bmi, icu, c.arr, Na, amylase = NULL, lipase = NULL, norad,
  dopam)

Arguments

age

numeric vector of donor ages in years

bmi

numeric vector of donor body mass index (BMI)

icu

numeric vector of length of donor ICU stay in days

c.arr

numeric vector for duration of cardiac arrest (use 0 if no cardiac arrest)

Na

numeric vector of donor serum sodium in mmmol/l

amylase

numeric vector of donor serum amylase in IU/l (0 if not available)

lipase

numeric vector of donor serum lipase in IU/l (0 if not available)

norad

numeric vector of noradrenaline (0 if not used)

dopam

numeric vector of dopamine or dobutamine (0 if not used)

Details

At least one of amylase or lipase is needed for each case, but this function can take datasets with a mixture of amylase and lipase levels and will allocate points based on the higher points for cases when both are provided.

Reference: Vinkers MT, Rahmel AO, Slot MC, et al. How to recognize a suitable pancreas donor: a Eurotransplant study of preprocurement factors. Transplant Proc 2008; 40(5):1275-8.

Value

numeric vector of P-PASS scores

Examples

# as a single case
p_pass(age = 25, bmi = 19, icu = 0, c.arr = 0, Na = 135,
      amylase = 101, lipase = 120, norad = 0, dopam = 0) # 9

# as a vector with mixed amylase and lipase availability
p_pass(age = c(25, 31, 45), bmi = c(18, 22, 35), icu = c(2, 5, 10), c.arr = c(0, 4, 10),
       Na = c(135, 157, 164), amylase = c(120, NA, 400), lipase = c(155, 170, NA),
      norad = c(0, 0.02, 0.06), dopam = c(0, 5, 11)) # 9, 19, 25

# as a vector with all lipase values missing
p_pass(age = c(25, 31, 45), bmi = c(18, 22, 35), icu = c(2, 5, 10), c.arr = c(0, 4, 10),
       Na = c(135, 157, 164), amylase = c(120, 145, 400), lipase = c(NA, NA, NA),
       norad = c(0, 0.02, 0.06), dopam = c(0, 5, 11)) # 9, 19, 25