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;
}