baseline-creatinine

Compute baseline creatinine for AKI assessment using hierarchical rules and SQL.

40|17|Updated Oct 27, 2025
One-click install
npx skills add https://github.com/hannesill/m4 --skill baseline-creatinine
Or copy as Structured Prompt for Agent
Please help me install this Agent Skill.
Skill: baseline-creatinine
Source: https://github.com/hannesill/m4/tree/main/src/m4/skills/clinical/baseline-creatinine
Command: npx skills add https://github.com/hannesill/m4 --skill baseline-creatinine

SYSTEM DOCUMENTATION & REQUIREMENTS

💡 This Skill includes scripts (resource) components.

What problem does it solve?

Baseline creatinine is often unknown at admission, complicating AKI staging and renal-function research. This Skill provides a defensible baseline by applying a hierarchical approach that uses the lowest in-hospital creatinine when CKD is present, or MDRD-based estimation otherwise, ensuring consistent comparisons across patients.

Core Features & Use Cases

  • Hierarchical baseline determination using admission creatinine, CKD status, and MDRD-based estimation.
  • Reproducible baseline value per admission with clear CKD consideration.
  • Provides SQL-based baseline query and documentation for research cohorts.

Quick Start

Run the provided SQL baseline query to compute scr_baseline for a patient admission.

Frequently Asked Questions about baseline-creatinine

High-intent search queries and answers about installing and using this skill.

FAQPage Schema
How do I estimate baseline creatinine for AKI staging when admission values are missing?

Estimate baseline creatinine by applying a hierarchical rule set that uses the lowest in-hospital creatinine when CKD is present, or MDRD-based estimation otherwise, ensuring consistent comparisons across patients.

What is the best way to determine baseline creatinine for CKD identification in research cohorts?

Determining baseline creatinine for CKD identification uses a hierarchical approach applying admission creatinine, CKD status, and MDRD-based estimation to provide a defensible, reproducible baseline per admission.

How do I compute baseline creatinine using SQL for adult inpatient KDIGO staging?

Compute baseline creatinine for KDIGO staging by running the provided SQL baseline query, which calculates scr_baseline for patient admissions based on a hierarchical clinical rule set.

When do I need MDRD-based estimation for renal function trajectory research?

Use MDRD-based estimation for renal function trajectory research when a patient's baseline creatinine is unknown at admission and CKD status does not indicate using the lowest in-hospital value.

Does this baseline creatinine approach work for diverse clinical research datasets?

Yes, the baseline creatinine approach works for diverse clinical research datasets by enforcing a hierarchical rule set that provides reproducible baseline values across varied adult inpatient populations.

Why use a hierarchical rule set for baseline creatinine determination instead of a single method?

Use a hierarchical rule set for baseline creatinine because baseline is often unknown at admission, requiring fallback logic between admission creatinine, CKD flags, and MDRD estimation for defensible AKI staging.