Created
January 3, 2023 13:10
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<?php | |
namespace Medical\CoreBundle\Component\Tool; | |
class CreatinineCalculator | |
{ | |
const MDRD = 'MDRD'; | |
const COCKROFT = 'COCKROFT'; | |
/** | |
* @return float | |
*/ | |
public static function compute($type, array $input) | |
{ | |
if ($type === self::MDRD) { | |
return self::computeMdrd($input); | |
} else if ($type === self::COCKROFT) { | |
return self::computeCockroft($input); | |
} else { | |
throw new \Exception('Cannot compute: allowed values are MDRD or COCKROFT'); | |
} | |
} | |
/** | |
* @return float | |
*/ | |
public static function computeCockroft(array $input) | |
{ | |
$k = ($input['sex'] === 'H') ? 1.23 : 1.04; | |
// quick check if age is empty, it must be computed | |
// from birthyear. Otherwise we onnly need the age so go on | |
$input['age'] = self::validateAgeInput($input); | |
// base creatinimie value must be in umol/L (id normalize mg/L input(s)) | |
$creat = self::toUmolCockroft($input); | |
$cockroft = ( ((140 - $input['age']) / $creat) * floatval($input['weight']) * floatval($k) ); | |
$cockroft = round($cockroft, 2); | |
return $cockroft; | |
} | |
/** | |
* @return float | |
*/ | |
public static function computeMdrd(array $input) | |
{ | |
// two different multipliers must be applied to the base result | |
// depending on sex (male, female) or afro origin. | |
// If not, assign a neutral multiplier to m1 and m2 (ie. 1) | |
$m1 = ($input['sex'] === 'F') ? 0.742 : 1; | |
$m2 = ($input['originAfro'] === true) ? 1.212 : 1; | |
// base creatinimie value must be in umol/L (id normalize mg/L input(s)) | |
$creat = self::toUmolMdrd($input); | |
$mdrd = 186 * pow( ($creat * 0.0113), -1.154) * pow($input['age'], -0.203) * $m1 * $m2; | |
// @TODO A vérifier absolument ! | |
if ($input['creatinimieType'] === 'mg/L') { | |
$mdrd = $mdrd * pow(88.5,-1.154); | |
} | |
return round($mdrd, 2); | |
} | |
public static function birthyearToAge($year) | |
{ | |
$year = (int) $year; | |
$now = new \DateTime(); | |
$fulldate = $year.'-01-01 00:00:01'; | |
$birthday = new \DateTime($fulldate); | |
$interval = $now->diff($birthday); | |
$age = $interval->format('%y'); | |
return $age; | |
} | |
public static function validateAgeInput(array $input) | |
{ | |
if (empty($input['age']) && empty($input['year'])) { | |
throw new \Exception('Only one of these fields can be empty: year or age'); | |
} | |
return empty($input['age']) ? self::birthyearToAge($input['year']) : $input['age']; | |
} | |
public static function toUmolCockroft(array $input) | |
{ | |
// base creatinimie value must be in umol/L (id normalize mg/L input(s)) | |
if ($input['creatinimieType'] === 'mg/L') { | |
$creat = ($input['creatinimie'] / 10) * 88.4; | |
} else { | |
// value already in umol/L. Nice ! | |
$creat = $input['creatinimie']; | |
} | |
return $creat; | |
} | |
public static function toUmolMdrd(array $input) | |
{ | |
// base creatinimie value must be in umol/L (id normalize mg/L input(s)) | |
if ($input['creatinimieType'] === 'mg/L') { | |
$creat = $input['creatinimie'] / 10; | |
} else { | |
// value already in umol/L. Nice ! | |
$creat = $input['creatinimie']; | |
} | |
return $creat; | |
} | |
} |
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