Pregna Risk
Skill by cryptoreumd
Why use this skill?
Calculate pregnancy risk for SLE and APS patients with the PREGNA-RISK skill. Get evidence-based composite scores, monitoring recommendations, and uncertainty analysis.
Install via CLI (Recommended)
clawhub install openclaw/skills/skills/cryptoreumd/pregna-riskWhat This Skill Does
The PREGNA-RISK skill is a specialized clinical decision support tool designed to quantify pregnancy-related risks in patients diagnosed with Systemic Lupus Erythematosus (SLE) and/or Antiphospholipid Syndrome (APS). By integrating complex variables—including serological profiles (e.g., anti-dsDNA, C3/C4 levels, aPL titers), clinical history (prior APOs), and current physiological markers (e.g., eGFR, proteinuria, BMI)—the skill calculates a weighted composite score that categorizes pregnancy risk. It goes beyond static checklists by employing Monte Carlo uncertainty estimation, running 10,000 simulations with weight perturbations to provide a statistically robust risk range, helping clinicians distinguish between low, moderate, high, and very high-risk profiles for adverse pregnancy outcomes like preeclampsia and fetal loss.
Installation
To integrate this skill into your environment, ensure you have the OpenClaw agent platform installed. Run the following command in your terminal:
clawhub install openclaw/skills/skills/cryptoreumd/pregna-risk
Ensure that you have the necessary runtime dependencies satisfied by running pip install numpy. The tool is designed to be executed via python3 pregna_risk.py, providing a modular interface for integrating patient data into your local clinical workflow.
Use Cases
- Preconception Counseling: Use this tool to discuss risk levels with patients planning a pregnancy to determine if additional disease management is required before conception.
- Monitoring Intensity Calibration: Tailor the frequency of rheumatological visits and obstetric Doppler studies based on the objective score generated by the tool.
- Multidisciplinary Team Planning: Facilitate communication between rheumatologists and Maternal-Fetal Medicine (MFM) specialists by providing a standardized risk metric.
- Longitudinal Assessment: Track how changes in serological markers (e.g., improvement in anti-dsDNA or protein levels) influence the risk score throughout the pre-conception or early pregnancy period.
Example Prompts
- "Calculate the risk score for a patient with SLEDAI of 6, positive triple aPL, and currently on hydroxychloroquine."
- "What is the recommended monitoring frequency for a patient scoring 42 on the PREGNA-RISK scale?"
- "Evaluate the impact of switching from LMWH to aspirin on my patient's overall pregnancy risk profile."
Tips & Limitations
This skill is intended as an adjunct tool to support clinical judgment, not a substitute for it. The results are derived from large-scale studies like PROMISSE, but individual patient variables may exhibit nuances not captured by current weightings. Always consider comorbid conditions and local clinical guidelines. The uncertainty estimation provides a 95% CI to alert you when variables are highly sensitive, so pay close attention to cases where the score falls near category boundaries.
Metadata
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Find the right skillPaste this into your clawhub.json to enable this plugin.
{
"plugins": {
"official-cryptoreumd-pregna-risk": {
"enabled": true,
"auto_update": true
}
}
}Tags(AI)
Flags: code-execution