/// <summary>
/// 获取心衰风险评估结果 SYF 2015-11-17
/// </summary>
/// <param name="pclsCache"></param>
/// <param name="UserId"></param>
/// <returns></returns>
public M3Risk GetM3Risk(DataConnection pclsCache, string UserId)
{
M3RiskInput Input = new M3RiskInput();
M3Risk Output = new M3Risk();
Input = new RiskInfoRepository().GetM3RiskInput(pclsCache, UserId);
if (Input != null)
{
int RiskScore = 0;
#region//左心室射血分数影响
if (Input.EF >= 40)
{
RiskScore = RiskScore + 0;
}
else if (Input.EF >= 35 && Input.EF <= 39)
{
RiskScore = RiskScore + 2;
}
else if (Input.EF >= 30 && Input.EF <= 34)
{
RiskScore = RiskScore + 3;
}
else if (Input.EF >= 25 && Input.EF <= 29)
{
RiskScore = RiskScore + 5;
}
else if (Input.EF >= 20 && Input.EF <= 24)
{
RiskScore = RiskScore + 6;
}
else if (Input.EF >= 0 && Input.EF < 20)
{
RiskScore = RiskScore + 7;
}
#endregion
#region//年龄与左心室射血分数叠加影响
if ((Input.Age >= 56) && (Input.Age <= 59))
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 1;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 2;
}
else if (Input.EF >= 40)
{
RiskScore = RiskScore + 3;
}
}
else if ((Input.Age >= 60) && (Input.Age <= 64))
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 2;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 4;
}
else if (Input.EF >= 40)
{
RiskScore = RiskScore + 5;
}
}
else if ((Input.Age >= 65) && (Input.Age <= 69))
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 4;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 6;
}
else if (Input.EF >= 40)
{
RiskScore = RiskScore + 7;
}
}
else if ((Input.Age >= 70) && (Input.Age <= 74))
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 6;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 8;
}
else if (Input.EF >= 40)
{
RiskScore = RiskScore + 9;
}
}
else if ((Input.Age >= 75) && (Input.Age <= 79))
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 8;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 10;
}
else if (Input.EF >= 40)
{
RiskScore = RiskScore + 12;
}
}
else if (Input.Age >= 80)
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 10;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 13;
}
else if (Input.EF >= 40)
{
RiskScore = RiskScore + 15;
}
}
#endregion
#region//收缩压与左心室射血分数叠加影响
if (Input.SBP < 110)
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 5;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 3;
}
else if (Input.EF >= 40)
{
RiskScore = RiskScore + 2;
}
}
else if ((Input.SBP >= 110) && (Input.SBP <= 119))
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 4;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 2;
}
else if (Input.EF >= 40)
{
RiskScore = RiskScore + 1;
}
}
else if ((Input.SBP >= 120) && (Input.SBP <= 129))
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 3;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 1;
}
else if (Input.EF >= 40)
{
RiskScore = RiskScore + 1;
}
}
else if ((Input.SBP >= 130) && (Input.SBP <= 139))
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 2;
}
else if ((Input.EF >= 30) && (Input.EF <= 39))
{
RiskScore = RiskScore + 1;
}
}
else if ((Input.SBP >= 140) && (Input.SBP <= 149))
{
if (Input.EF < 30)
{
RiskScore = RiskScore + 1;
}
}
#endregion
#region//BMI的影响
if (Input.BMI < 15)
{
RiskScore = RiskScore + 6;
}
else if ((Input.BMI >= 15) && (Input.BMI < 20))
{
RiskScore = RiskScore + 5;
}
else if ((Input.BMI >= 20) && (Input.BMI < 25))
{
RiskScore = RiskScore + 3;
}
else if ((Input.BMI >= 25) && (Input.BMI < 30))
{
RiskScore = RiskScore + 2;
}
#endregion
#region//肌酐的影响
if ((Input.Creatinine >= 90) && (Input.Creatinine < 110))
{
RiskScore = RiskScore + 1;
}
else if ((Input.Creatinine >= 110) && (Input.Creatinine < 130))
{
RiskScore = RiskScore + 2;
}
else if ((Input.Creatinine >= 130) && (Input.Creatinine < 150))
{
RiskScore = RiskScore + 3;
}
else if ((Input.Creatinine >= 150) && (Input.Creatinine < 170))
{
RiskScore = RiskScore + 4;
}
else if ((Input.Creatinine >= 170) && (Input.Creatinine < 210))
{
RiskScore = RiskScore + 5;
}
else if ((Input.Creatinine >= 210) && (Input.Creatinine < 250))
{
RiskScore = RiskScore + 6;
}
else if (Input.Creatinine >= 250)
{
RiskScore = RiskScore + 8;
}
#endregion
#region//心衰等级分类影响
if (Input.NYHA == 2)
{
RiskScore = RiskScore + 2;
}
else if (Input.NYHA == 3)
{
RiskScore = RiskScore + 6;
}
else if (Input.NYHA == 4)
{
RiskScore = RiskScore + 8;
}
#endregion
#region//其他因素影响
if (Input.Gender == 1)
{
RiskScore = RiskScore + 1;
}
if (Input.Smoke == 1)
{
RiskScore = RiskScore + 1;
}
if (Input.Diabetes == 1)
{
RiskScore = RiskScore + 3;
}
if (Input.Lung == 1)
{
RiskScore = RiskScore + 2;
}
if (Input.HF18 == 1)
{
RiskScore = RiskScore + 2;
}
if (Input.Beta == 2)
{
RiskScore = RiskScore + 3;
}
if (Input.AA == 2)
{
RiskScore = RiskScore + 1;
}
#endregion
double[] OneYear = new double[] { 0.015, 0.016, 0.018, 0.020, 0.022, 0.024, 0.027, 0.029, 0.032, 0.036, 0.039, 0.043, 0.048, 0.052, 0.058, 0.063, 0.070, 0.077, 0.084, 0.093, 0.102, 0.111, 0.122, 0.134, 0.147, 0.060, 0.175, 0.191, 0.209, 0.227, 0.248, 0.269, 0.292, 0.316, 0.342, 0.369, 0.398, 0.427, 0.458, 0.490, 0.523, 0.557, 0.591, 0.625, 0.659, 0.692, 0.725, 0.757, 0.787, 0.816, 0.842 };
double[] ThreeYear = new double[] { 0.039, 0.043, 0.048, 0.052, 0.058, 0.063, 0.070, 0.077, 0.084, 0.092, 0.102, 0.111, 0.122, 0.134, 0.146, 0.160, 0.175, 0.191, 0.209, 0.227, 0.247, 0.269, 0.292, 0.316, 0.342, 0.369, 0.397, 0.427, 0.458, 0.490, 0.523, 0.556, 0.590, 0.625, 0.658, 0.692, 0.725, 0.756, 0.787, 0.815, 0.842, 0.866, 0.889, 0.908, 0.926, 0.941, 0.953, 0.964, 0.973, 0.980, 0.985 };
Output.One = OneYear[RiskScore] * 100;
Output.Three = ThreeYear[RiskScore] * 100;
}
else
{
return null;
}
return Output;
}
public M3Risk AddM3Risk(DataConnection pclsCache, string PatientId, M3RiskInput M3RiskInput, int RecordDate, int RecordTime, string piUserId, string piTerminalName, string piTerminalIP, int piDeviceType)
{
M3Risk M3Risk = new M3Risk();
int ret = 0;
ret = new RiskInfoMethod().SetM3RiskInput(pclsCache, PatientId, M3RiskInput, RecordDate, RecordTime, piUserId, piTerminalName, piTerminalIP, piDeviceType);
if (ret == 1)
{
M3Risk = new RiskInfoRepository().GetM3Risk(pclsCache, PatientId);
}
return M3Risk;
}
/// <summary>
/// 获取高血压风险评估结果 SYF 2015-11-16
/// </summary>
/// <param name="UserId"></param>
/// <returns></returns>
public M1Risk GetM1Risk(DataConnection pclsCache, string UserId)
{
M1Risk Output = new M1Risk();
M1RiskInput Input = new M1RiskInput();
Input = new RiskInfoRepository().GetM1RiskInput(pclsCache, UserId);
if (Input != null)
{
#region//获取模型所需输入
int Age = Input.Age;//年龄默认1岁（避免出现0岁）
int Gender = Input.Gender;//性别男
int Height = Input.Height;//身高176cm
int Weight = Input.Weight;//体重69千克
double BMI = Input.BMI;
int AbdominalGirth = Input.AbdominalGirth; //腹围
int Heartrate = Input.Heartrate;//心率
int Parent = Input.Parent;//父母中至少有一方有高血压
int Smoke = Input.Smoke;//不抽烟
int Stroke = Input.Stroke;//没有中风
int Lvh = Input.Lvh; ;//有左心室肥大
int Diabetes = Input.Diabetes;//有伴随糖尿病
int Treat = Input.Treat;//高血压是否在治疗（接受过）没有
int Heartattack = Input.Heartattack;//有过心脏事件（心血管疾病）
int Af = Input.Af;//没有过房颤
int Chd = Input.Chd;//有冠心病(心肌梗塞)
int Valve = Input.Valve;//没有心脏瓣膜病
double Tcho = Input.Tcho;//总胆固醇浓度5.2mmol/L
double Creatinine = Input.Creatinine;//肌酐浓度140μmoI/L
double Hdlc = Input.Hdlc;//高密度脂蛋白胆固醇1.21g/ml
int SBP = Input.SBP;//当前收缩压
int DBP = Input.DBP;//当前舒张压
#endregion
#region//用于模型计算时的调整
if (Gender <= 2)
{
Gender = Gender - 1;
}
else
{
Gender = 0;
}
if (Gender == 1)//为计算方便，性别值对调
{
Gender = 0;
}
else
{
Gender = 1;
}
if (Parent > 1)
{
Parent = 0;
}
if (Smoke > 1)
{
Smoke = 0;
}
if (Stroke > 1)
{
Stroke = 0;
}
if (Lvh > 1)
{
Lvh = 0;
}
if (Diabetes > 1)
{
Diabetes = 0;
}
if (Treat > 1)
{
Treat = 0;
}
if (Heartattack > 1)
{
Heartattack = 0;
}
if (Af > 1)
{
Af = 0;
}
if (Chd > 1)
{
Chd = 0;
}
if (Valve > 1)
{
Valve = 0;
}
#endregion
#region//高血压风险
double Hyperother = -0.15641 * Age - 0.20293 * Gender - 0.19073 * Smoke - 0.16612 * Parent - 0.03388 * BMI;
Hyperother = Hyperother - 0.05933 * SBP - 0.12847 * DBP + 0.00162 * Age * DBP;
double Hyper = 1 - Math.Exp(-Math.Exp(((Math.Log(4)) - (22.94954 + Hyperother)) / 0.87692));
#endregion
#region//HarvardRiskInfactor这个变量存的是Harvard风险评估计算公式中的风险因数，界面上需要做的是加上收缩压的风险因数，然后代入公式计算。
int HarvardRiskInfactor = 0;
//男性风险值
if (Gender == 1)
{
if (Age <= 39)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 19;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
}
else if (Age <= 44 && Age >= 40)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 7;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
}
else if (Age <= 49 && Age >= 45)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 7;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 7;
}
}
else if (Age <= 54 && Age >= 50)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 11;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 6;
}
}
else if (Age <= 59 && Age >= 55)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 14;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 6;
}
}
else if (Age <= 64 && Age >= 60)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 18;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 5;
}
}
else if (Age <= 69 && Age >= 65)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 22;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
}
else
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 25;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
}
//年龄和抽烟的风险值加成
if (Tcho < 5)
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
else if (Tcho >= 5.0 && Tcho <= 5.9)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else if (Tcho >= 6.0 && Tcho <= 6.9)
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
else if (Tcho >= 7.0 && Tcho <= 7.9)
{
HarvardRiskInfactor = HarvardRiskInfactor + 5;
}
else if (Tcho >= 8.0 && Tcho <= 8.9)
{
HarvardRiskInfactor = HarvardRiskInfactor + 7;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 9;
}
//总胆固醇浓度风险值加成
if (Height < 145)
{
HarvardRiskInfactor = HarvardRiskInfactor + 6;
}
else if (Height >= 145 && Height <= 154)
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
else if (Height >= 155 && Height <= 164)
{
HarvardRiskInfactor = HarvardRiskInfactor + 3;
}
else if (Height >= 165 && Height <= 174)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
//身高风险值加成
if (Creatinine < 50)
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
else if (Creatinine >= 50 && Creatinine <= 69)
{
HarvardRiskInfactor = HarvardRiskInfactor + 1;
}
else if (Creatinine >= 70 && Creatinine <= 89)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else if (Creatinine >= 90 && Creatinine <= 109)
{
HarvardRiskInfactor = HarvardRiskInfactor + 3;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
//肌酐浓度风险值加成
if (Chd == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 8;
}
//心肌梗塞（冠心病）风险值加成
if (Stroke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 8;
}
//中风风险值加成
if (Lvh == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 3;
}
//左室高血压（左心室肥大）风险值加成
if (Diabetes == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
//糖尿病风险值加成
if (SBP <= 119)
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
else if (SBP >= 120 && SBP <= 129)
{
HarvardRiskInfactor = HarvardRiskInfactor + 1;
}
else if (SBP >= 130 && SBP <= 139)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else if (SBP >= 130 && SBP <= 139)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else if (SBP >= 140 && SBP <= 149)
{
HarvardRiskInfactor = HarvardRiskInfactor + 3;
}
else if (SBP >= 150 && SBP <= 159)
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
else if (SBP >= 160 && SBP <= 169)
{
HarvardRiskInfactor = HarvardRiskInfactor + 5;
}
else if (SBP >= 170 && SBP <= 179)
{
HarvardRiskInfactor = HarvardRiskInfactor + 6;
}
else if (SBP >= 180 && SBP <= 189)
{
HarvardRiskInfactor = HarvardRiskInfactor + 8;
}
else if (SBP >= 190 && SBP <= 199)
{
HarvardRiskInfactor = HarvardRiskInfactor + 9;
}
else if (SBP >= 200 && SBP <= 209)
{
HarvardRiskInfactor = HarvardRiskInfactor + 10;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 11;
}
//收缩压加成
}
//女性风险值计算
else
{
if (Age <= 39)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 13;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
}
else if (Age <= 44 && Age >= 40)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 12;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 5;
}
}
else if (Age <= 49 && Age >= 45)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 11;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 9;
}
}
else if (Age <= 54 && Age >= 50)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 10;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 14;
}
}
else if (Age <= 59 && Age >= 55)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 10;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 18;
}
}
else if (Age <= 64 && Age >= 60)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 9;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 23;
}
}
else if (Age <= 69 && Age >= 65)
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 9;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 27;
}
}
else
{
if (Smoke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 8;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 32;
}
}
//年龄和抽烟的风险值加成
if (Tcho < 5)
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
else if (Tcho >= 5.0 && Tcho <= 5.9)
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
else if (Tcho >= 6.0 && Tcho <= 6.9)
{
HarvardRiskInfactor = HarvardRiskInfactor + 1;
}
else if (Tcho >= 7.0 && Tcho <= 7.9)
{
HarvardRiskInfactor = HarvardRiskInfactor + 1;
}
else if (Tcho >= 8.0 && Tcho <= 8.9)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
//总胆固醇浓度风险值加成
if (Height < 145)
{
HarvardRiskInfactor = HarvardRiskInfactor + 6;
}
else if (Height >= 145 && Height <= 154)
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
else if (Height >= 155 && Height <= 164)
{
HarvardRiskInfactor = HarvardRiskInfactor + 3;
}
else if (Height >= 165 && Height <= 174)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
//身高风险值加成
if (Creatinine < 50)
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
else if (Creatinine >= 50 && Creatinine <= 69)
{
HarvardRiskInfactor = HarvardRiskInfactor + 1;
}
else if (Creatinine >= 70 && Creatinine <= 89)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else if (Creatinine >= 90 && Creatinine <= 109)
{
HarvardRiskInfactor = HarvardRiskInfactor + 3;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
//肌酐浓度风险值加成
if (Chd == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 8;
}
//心肌梗塞（冠心病）风险值加成
if (Stroke == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 8;
}
//中风风险值加成
if (Lvh == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 3;
}
//左室高血压（左心室肥大）风险值加成
if (Diabetes == 1)
{
HarvardRiskInfactor = HarvardRiskInfactor + 9;
}
//糖尿病风险值加成
if (SBP <= 119)
{
HarvardRiskInfactor = HarvardRiskInfactor + 0;
}
else if (SBP >= 120 && SBP <= 129)
{
HarvardRiskInfactor = HarvardRiskInfactor + 1;
}
else if (SBP >= 130 && SBP <= 139)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else if (SBP >= 130 && SBP <= 139)
{
HarvardRiskInfactor = HarvardRiskInfactor + 2;
}
else if (SBP >= 140 && SBP <= 149)
{
HarvardRiskInfactor = HarvardRiskInfactor + 3;
}
else if (SBP >= 150 && SBP <= 159)
{
HarvardRiskInfactor = HarvardRiskInfactor + 4;
}
else if (SBP >= 160 && SBP <= 169)
{
HarvardRiskInfactor = HarvardRiskInfactor + 5;
}
else if (SBP >= 170 && SBP <= 179)
{
HarvardRiskInfactor = HarvardRiskInfactor + 6;
}
else if (SBP >= 180 && SBP <= 189)
{
HarvardRiskInfactor = HarvardRiskInfactor + 7;
}
else if (SBP >= 190 && SBP <= 199)
{
HarvardRiskInfactor = HarvardRiskInfactor + 8;
}
else if (SBP >= 200 && SBP <= 209)
{
HarvardRiskInfactor = HarvardRiskInfactor + 9;
}
else
{
HarvardRiskInfactor = HarvardRiskInfactor + 10;
}
//收缩压加成
}
#endregion//以上是女性风险值
double Harvard = 6.304 * Math.Pow(10, -8) * Math.Pow(HarvardRiskInfactor, 5) - 5.027 * Math.Pow(10, -6) * Math.Pow(HarvardRiskInfactor, 4) + 0.0001768 * Math.Pow(HarvardRiskInfactor, 3) - 0.001998 * Math.Pow(HarvardRiskInfactor, 2) + 0.01294 * HarvardRiskInfactor + 0.0409;
Harvard = Harvard / 100;
#region//FraminghamRiskInfactor这个变量存的是Framingham风险评估计算公式中的风险因数，界面上需要做的是加上收缩压的风险因数，然后代入公式计算。
//这个Framingham模型也是需要收缩压值的，分为接受过治疗的血压和未接受过治疗的血压，模型分为男女进行计算，因为不同性别公式不同
double FraminghamRiskInfactor = 0.0;
double Framingham = 0.0;
if (Gender == 1) //男性
{
FraminghamRiskInfactor = FraminghamRiskInfactor + Math.Log(Age) * 3.06117;//性别
FraminghamRiskInfactor = FraminghamRiskInfactor + Math.Log(Tcho) * 1.12370;//总胆固醇
FraminghamRiskInfactor = FraminghamRiskInfactor + Math.Log(Hdlc) * (-0.93263);//高密度脂蛋白胆固醇
if (Smoke == 1)
{
FraminghamRiskInfactor = FraminghamRiskInfactor + 0.65451;//抽烟
}
if (Diabetes == 1)
{
FraminghamRiskInfactor = FraminghamRiskInfactor + 0.57367;//抽烟
}
if (Treat == 1)
{
FraminghamRiskInfactor = FraminghamRiskInfactor + 1.99881 * Math.Log(SBP);
}
else
{
FraminghamRiskInfactor = FraminghamRiskInfactor + 1.93303 * Math.Log(SBP);
}
Framingham = 1 - Math.Pow(0.88936, Math.Exp(FraminghamRiskInfactor - 23.9802));
}
else //女性
{
FraminghamRiskInfactor = FraminghamRiskInfactor + Math.Log(Age) * 2.3288;//性别
FraminghamRiskInfactor = FraminghamRiskInfactor + Math.Log(Tcho) * 1.20904;//总胆固醇
FraminghamRiskInfactor = FraminghamRiskInfactor + Math.Log(Hdlc) * (-0.70833);//高密度脂蛋白胆固醇
if (Smoke == 1)
{
FraminghamRiskInfactor = FraminghamRiskInfactor + 0.52873;//抽烟
}
if (Diabetes == 1)
{
FraminghamRiskInfactor = FraminghamRiskInfactor + 0.69154;//抽烟
}
if (Treat == 1)
{
FraminghamRiskInfactor = FraminghamRiskInfactor + 2.82263 * Math.Log(SBP);
}
else
{
FraminghamRiskInfactor = FraminghamRiskInfactor + 2.76157 * Math.Log(SBP);
}
Framingham = 1 - Math.Pow(0.95012, Math.Exp(FraminghamRiskInfactor - 26.1931));
}
#endregion
#region//StrokeRiskInfactor这个变量存的是中风风险评估计算公式中的风险因数，界面上需要做的是加上收缩压的风险因数，然后计算。
int StrokeRiskInfactor = 0;
double StrokeRisk = 0.0;
if (Gender == 1) //男性
{
if (Age <= 56)
{
StrokeRiskInfactor = StrokeRiskInfactor + 0;
}
else if (Age >= 57 && Age <= 59)
{
StrokeRiskInfactor = StrokeRiskInfactor + 1;
}
else if (Age >= 60 && Age <= 62)
{
StrokeRiskInfactor = StrokeRiskInfactor + 2;
}
else if (Age >= 63 && Age <= 65)
{
StrokeRiskInfactor = StrokeRiskInfactor + 3;
}
else if (Age >= 66 && Age <= 68)
{
StrokeRiskInfactor = StrokeRiskInfactor + 4;
}
else if (Age >= 69 && Age <= 72)
{
StrokeRiskInfactor = StrokeRiskInfactor + 5;
}
else if (Age >= 73 && Age <= 75)
{
StrokeRiskInfactor = StrokeRiskInfactor + 6;
}
else if (Age >= 76 && Age <= 78)
{
StrokeRiskInfactor = StrokeRiskInfactor + 7;
}
else if (Age >= 79 && Age <= 81)
{
StrokeRiskInfactor = StrokeRiskInfactor + 8;
}
else if (Age >= 82 && Age <= 84)
{
StrokeRiskInfactor = StrokeRiskInfactor + 9;
}
else
{
StrokeRiskInfactor = StrokeRiskInfactor + 10;
}
if (Diabetes == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 2;
}
//糖尿病风险值加成
if (Smoke == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 3;
}
//吸烟风险值加成
if (Heartattack == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 4;
}
//心血管疾病史（心脏事件）风险值加成
if (Af == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 4;
}
//房颤风险值加成
if (Lvh == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 5;
}
if (Treat != 1) //没有治疗过高血压的情况
{
if (SBP <= 105)
{
StrokeRiskInfactor = StrokeRiskInfactor + 0;
}
else if (SBP >= 106 && SBP <= 115)
{
StrokeRiskInfactor = StrokeRiskInfactor + 1;
}
else if (SBP >= 116 && SBP <= 125)
{
StrokeRiskInfactor = StrokeRiskInfactor + 2;
}
else if (SBP >= 126 && SBP <= 135)
{
StrokeRiskInfactor = StrokeRiskInfactor + 3;
}
else if (SBP >= 136 && SBP <= 145)
{
StrokeRiskInfactor = StrokeRiskInfactor + 4;
}
else if (SBP >= 146 && SBP <= 155)
{
StrokeRiskInfactor = StrokeRiskInfactor + 5;
}
else if (SBP >= 156 && SBP <= 165)
{
StrokeRiskInfactor = StrokeRiskInfactor + 6;
}
else if (SBP >= 166 && SBP <= 175)
{
StrokeRiskInfactor = StrokeRiskInfactor + 7;
}
else if (SBP >= 176 && SBP <= 185)
{
StrokeRiskInfactor = StrokeRiskInfactor + 8;
}
else if (SBP >= 186 && SBP <= 195)
{
StrokeRiskInfactor = StrokeRiskInfactor + 9;
}
else
{
StrokeRiskInfactor = StrokeRiskInfactor + 10;
}
}
else//治疗过高血压的情况
{
if (SBP <= 105)
{
StrokeRiskInfactor = StrokeRiskInfactor + 0;
}
else if (SBP >= 106 && SBP <= 112)
{
StrokeRiskInfactor = StrokeRiskInfactor + 1;
}
else if (SBP >= 113 && SBP <= 117)
{
StrokeRiskInfactor = StrokeRiskInfactor + 2;
}
else if (SBP >= 118 && SBP <= 123)
{
StrokeRiskInfactor = StrokeRiskInfactor + 3;
}
else if (SBP >= 124 && SBP <= 129)
{
StrokeRiskInfactor = StrokeRiskInfactor + 4;
}
else if (SBP >= 130 && SBP <= 135)
{
StrokeRiskInfactor = StrokeRiskInfactor + 5;
}
else if (SBP >= 136 && SBP <= 142)
{
StrokeRiskInfactor = StrokeRiskInfactor + 6;
}
else if (SBP >= 143 && SBP <= 150)
{
StrokeRiskInfactor = StrokeRiskInfactor + 7;
}
else if (SBP >= 151 && SBP <= 161)
{
StrokeRiskInfactor = StrokeRiskInfactor + 8;
}
else if (SBP >= 162 && SBP <= 176)
{
StrokeRiskInfactor = StrokeRiskInfactor + 9;
}
else
{
StrokeRiskInfactor = StrokeRiskInfactor + 10;
}
}
double[] Risk = new double[] { 3, 3, 4, 4, 5, 5, 6, 7, 8, 10, 11, 13, 15, 17, 20, 22, 26, 29, 33, 37, 42, 47, 52, 57, 63, 68, 74, 79, 84, 88 };
StrokeRisk = Risk[StrokeRiskInfactor - 1] / 100;
}
else //女性
{
if (Age <= 56)
{
StrokeRiskInfactor = StrokeRiskInfactor + 0;
}
else if (Age >= 57 && Age <= 59)
{
StrokeRiskInfactor = StrokeRiskInfactor + 1;
}
else if (Age >= 60 && Age <= 62)
{
StrokeRiskInfactor = StrokeRiskInfactor + 2;
}
else if (Age >= 63 && Age <= 64)
{
StrokeRiskInfactor = StrokeRiskInfactor + 3;
}
else if (Age >= 65 && Age <= 67)
{
StrokeRiskInfactor = StrokeRiskInfactor + 4;
}
else if (Age >= 68 && Age <= 70)
{
StrokeRiskInfactor = StrokeRiskInfactor + 5;
}
else if (Age >= 71 && Age <= 73)
{
StrokeRiskInfactor = StrokeRiskInfactor + 6;
}
else if (Age >= 74 && Age <= 76)
{
StrokeRiskInfactor = StrokeRiskInfactor + 7;
}
else if (Age >= 77 && Age <= 78)
{
StrokeRiskInfactor = StrokeRiskInfactor + 8;
}
else if (Age >= 79 && Age <= 81)
{
StrokeRiskInfactor = StrokeRiskInfactor + 9;
}
else
{
StrokeRiskInfactor = StrokeRiskInfactor + 10;
}
if (Diabetes == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 3;
}
//糖尿病风险值加成
if (Smoke == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 3;
}
//吸烟风险值加成
if (Heartattack == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 2;
}
//心血管疾病史（心脏事件）风险值加成
if (Af == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 6;
}
//房颤风险值加成
if (Lvh == 1)
{
StrokeRiskInfactor = StrokeRiskInfactor + 4;
}
if (Treat != 1) //没有治疗过高血压的情况
{
if (SBP <= 94)
{
StrokeRiskInfactor = StrokeRiskInfactor + 0;
}
else if (SBP >= 95 && SBP <= 106)
{
StrokeRiskInfactor = StrokeRiskInfactor + 1;
}
else if (SBP >= 107 && SBP <= 118)
{
StrokeRiskInfactor = StrokeRiskInfactor + 2;
}
else if (SBP >= 119 && SBP <= 130)
{
StrokeRiskInfactor = StrokeRiskInfactor + 3;
}
else if (SBP >= 131 && SBP <= 143)
{
StrokeRiskInfactor = StrokeRiskInfactor + 4;
}
else if (SBP >= 144 && SBP <= 155)
{
StrokeRiskInfactor = StrokeRiskInfactor + 5;
}
else if (SBP >= 156 && SBP <= 167)
{
StrokeRiskInfactor = StrokeRiskInfactor + 6;
}
else if (SBP >= 168 && SBP <= 180)
{
StrokeRiskInfactor = StrokeRiskInfactor + 7;
}
else if (SBP >= 181 && SBP <= 192)
{
StrokeRiskInfactor = StrokeRiskInfactor + 8;
}
else if (SBP >= 193 && SBP <= 204)
{
StrokeRiskInfactor = StrokeRiskInfactor + 9;
}
else
{
StrokeRiskInfactor = StrokeRiskInfactor + 10;
}
}
else//治疗过高血压的情况
{
if (SBP <= 94)
{
StrokeRiskInfactor = StrokeRiskInfactor + 0;
}
else if (SBP >= 95 && SBP <= 106)
{
StrokeRiskInfactor = StrokeRiskInfactor + 1;
}
else if (SBP >= 107 && SBP <= 113)
{
StrokeRiskInfactor = StrokeRiskInfactor + 2;
}
else if (SBP >= 114 && SBP <= 119)
{
StrokeRiskInfactor = StrokeRiskInfactor + 3;
}
else if (SBP >= 120 && SBP <= 125)
{
StrokeRiskInfactor = StrokeRiskInfactor + 4;
}
else if (SBP >= 126 && SBP <= 131)
{
StrokeRiskInfactor = StrokeRiskInfactor + 5;
}
else if (SBP >= 132 && SBP <= 139)
{
StrokeRiskInfactor = StrokeRiskInfactor + 6;
}
else if (SBP >= 140 && SBP <= 148)
{
StrokeRiskInfactor = StrokeRiskInfactor + 7;
}
else if (SBP >= 149 && SBP <= 160)
{
StrokeRiskInfactor = StrokeRiskInfactor + 8;
}
else if (SBP >= 161 && SBP <= 204)
{
StrokeRiskInfactor = StrokeRiskInfactor + 9;
}
else
{
StrokeRiskInfactor = StrokeRiskInfactor + 10;
}
}
double[] Risk = new double[] { 1, 1, 2, 2, 2, 3, 4, 4, 5, 6, 8, 9, 11, 13, 16, 19, 23, 27, 32, 37, 43, 50, 57, 64, 71, 78, 84 };
StrokeRisk = Risk[StrokeRiskInfactor - 1] / 100;
}
#endregion
#region//HeartFailureRiskInfactor这个变量存的是心衰风险评估计算公式中的风险因数，界面上需要做的是加上收缩压的风险因数，然后计算。
int HeartFailureRiskInfactor = 0;
double HeartFailureRisk = 0.0;
if (Gender == 1) //男性
{
if (Age <= 49)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 0;
}
else if (Age >= 50 && Age <= 54)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 1;
}
else if (Age >= 55 && Age <= 59)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 2;
}
else if (Age >= 60 && Age <= 64)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 3;
}
else if (Age >= 65 && Age <= 69)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 4;
}
else if (Age >= 70 && Age <= 74)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 5;
}
else if (Age >= 75 && Age <= 79)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 6;
}
else if (Age >= 80 && Age <= 84)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 7;
}
else if (Age >= 85 && Age <= 89)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 8;
}
else
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 9;
}
if (Heartrate <= 54)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 0;
}
else if (Heartrate >= 55 && Heartrate <= 64)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 1;
}
else if (Heartrate >= 65 && Heartrate <= 79)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 2;
}
else if (Heartrate >= 80 && Heartrate <= 89)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 3;
}
else if (Heartrate >= 90 && Heartrate <= 104)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 4;
}
else
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 5;
}
//心率风险值加成
if (Lvh == 1)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 4;
}
//左心室肥大（左室高血压）风险值加成
if (Chd == 1)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 8;
}
//冠心病风险值加成
if (Valve == 1)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 5;
}
//瓣膜疾病风险值加成
if (Smoke == 1)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 1;
}
//糖尿病风险值加成
if (SBP <= 119)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 0;
}
else if (SBP >= 120 && SBP <= 139)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 1;
}
else if (SBP >= 140 && SBP <= 169)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 2;
}
else if (SBP >= 170 && SBP <= 189)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 3;
}
else if (SBP >= 190 && SBP <= 219)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 4;
}
else
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 5;
}
if (HeartFailureRiskInfactor <= 5)
{
HeartFailureRisk = 1;
}
else if (HeartFailureRiskInfactor > 5 && HeartFailureRiskInfactor < 14)
{
HeartFailureRisk = 3;
}
else if (HeartFailureRiskInfactor >= 14 && HeartFailureRiskInfactor < 16)
{
HeartFailureRisk = 5;
}
else if (HeartFailureRiskInfactor >= 16 && HeartFailureRiskInfactor < 18)
{
HeartFailureRisk = 8;
}
else if (HeartFailureRiskInfactor >= 18 && HeartFailureRiskInfactor < 20)
{
HeartFailureRisk = 11;
}
else if (HeartFailureRiskInfactor >= 20 && HeartFailureRiskInfactor < 22)
{
HeartFailureRisk = 11;
}
else if (HeartFailureRiskInfactor >= 22 && HeartFailureRiskInfactor < 24)
{
HeartFailureRisk = 22;
}
else if (HeartFailureRiskInfactor >= 24 && HeartFailureRiskInfactor < 25)
{
HeartFailureRisk = 30;
}
else if (HeartFailureRiskInfactor >= 25 && HeartFailureRiskInfactor < 26)
{
HeartFailureRisk = 34;
}
else if (HeartFailureRiskInfactor >= 26 && HeartFailureRiskInfactor < 27)
{
HeartFailureRisk = 39;
}
else if (HeartFailureRiskInfactor >= 27 && HeartFailureRiskInfactor < 28)
{
HeartFailureRisk = 44;
}
else if (HeartFailureRiskInfactor >= 28 && HeartFailureRiskInfactor < 29)
{
HeartFailureRisk = 49;
}
else if (HeartFailureRiskInfactor >= 29 && HeartFailureRiskInfactor < 30)
{
HeartFailureRisk = 54;
}
else
{
HeartFailureRisk = 59;
}
HeartFailureRisk = HeartFailureRisk / 100;
}
else //女性
{
if (Age <= 49)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 0;
}
else if (Age >= 50 && Age <= 54)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 1;
}
else if (Age >= 55 && Age <= 59)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 2;
}
else if (Age >= 60 && Age <= 64)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 3;
}
else if (Age >= 65 && Age <= 69)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 4;
}
else if (Age >= 70 && Age <= 74)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 5;
}
else if (Age >= 75 && Age <= 79)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 6;
}
else if (Age >= 80 && Age <= 84)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 7;
}
else if (Age >= 85 && Age <= 89)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 8;
}
else
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 9;
}
//年龄的风险加权值
if (Heartrate < 60)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 0;
}
else if (Heartrate >= 60 && Heartrate <= 79)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 1;
}
else if (Heartrate >= 80 && Heartrate <= 104)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 2;
}
else
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 3;
}
//心率风险值加成
if (Lvh == 1)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 5;
}
//左心室肥大（左室高血压）风险值加成
if (Chd == 1)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 6;
}
//冠心病风险值加成
if (Valve == 1)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 6;
if (Smoke == 1)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 2;
}
}
else
{
if (Smoke == 1)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 6;
}
}
//瓣膜疾病和糖尿病风险值加成
if (BMI < 21)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 0;
}
else if (BMI >= 21 && BMI <= 25)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 1;
}
else if (BMI > 25 && BMI <= 29)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 2;
}
else
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 3;
}
if (SBP < 140)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 0;
}
else if (SBP >= 140 && SBP <= 209)
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 1;
}
else
{
HeartFailureRiskInfactor = HeartFailureRiskInfactor + 2;
}
if (HeartFailureRiskInfactor < 10)
{
HeartFailureRisk = 1;
}
else if (HeartFailureRiskInfactor <= 28)
{
double[] Risk = new double[] { 2, 2, 3, 3, 4, 5, 7, 9, 11, 14, 17, 21, 25, 30, 36, 42, 48, 54, 60 };
HeartFailureRisk = Risk[HeartFailureRiskInfactor - 10];
}
else
{
HeartFailureRisk = 60;
}
HeartFailureRisk = HeartFailureRisk / 100;
}
#endregion
#region//输出数据
Output.Hyper = Math.Round(Hyper * 100, 2);
Output.Harvard = Math.Round(Harvard * 100, 2);
Output.Framingham = Math.Round(Framingham * 100, 2);
Output.StrokeRisk = Math.Round(StrokeRisk * 100, 2);
Output.HeartFailureRisk = Math.Round(HeartFailureRisk * 100, 2);
Output.SBP = SBP;
Output.DBP = DBP;
#endregion
}
else
{
Output = null;
}
return Output;
}
