{"id":305,"date":"2025-03-08T21:24:48","date_gmt":"2025-03-08T21:24:48","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=305"},"modified":"2026-03-14T19:27:27","modified_gmt":"2026-03-14T19:27:27","slug":"zespol-antyfosfolipidowy-aps-eular-acr-2023","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/pl\/kalkulatory\/kryteria\/zespol-antyfosfolipidowy-aps-eular-acr-2023\/","title":{"rendered":"Zesp\u00f3\u0142 antyfosfolipidowy (APS) &#8211; EULAR\/ACR 2023"},"content":{"rendered":"\n<section id=\"rx-aps-acr-eular-2023-calculator\" style=\"max-width:960px;margin:0 auto;font:16px\/1.55 Inter,ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,'Segoe UI',sans-serif;color:#0f172a;\">\n  <div style=\"background:linear-gradient(180deg,#ffffff 0%,#fbfdff 100%);border:1px solid #e2e8f0;border-radius:24px;box-shadow:0 12px 30px rgba(15,23,42,.06);overflow:hidden;\">\n    <div style=\"padding:28px 28px 20px;border-bottom:1px solid #e2e8f0;background:radial-gradient(circle at top right, rgba(15,118,110,.08), transparent 32%), linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);\">\n      <div style=\"display:inline-block;padding:6px 12px;border-radius:999px;background:rgba(15,118,110,.10);color:#0f766e;font-size:12px;font-weight:700;letter-spacing:.02em;text-transform:uppercase;margin-bottom:14px;\">Kalkulator klasyfikacyjny<\/div>\n      <h2 style=\"margin:0 0 10px;font-size:clamp(24px,3vw,32px);line-height:1.15;letter-spacing:-.02em;\">Zesp\u00f3\u0142 antyfosfolipidowy (APS) \u2014 ACR\/EULAR 2023<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:76ch;\">Najpierw wymagane jest spe\u0142nienie warunku wej\u015bciowego: co najmniej 1 dodatni test aPL w ci\u0105gu 3 lat od kryterium klinicznego zwi\u0105zanego z aPL. Nast\u0119pnie sumuje si\u0119 punkty z domen klinicznych i laboratoryjnych; do klasyfikacji APS potrzeba co najmniej 3 pkt klinicznych i 3 pkt laboratoryjnych.<\/p>\n    <\/div>\n\n    <div style=\"padding:28px;display:grid;gap:20px;\">\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">1. Warunek wej\u015bciowy<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Czy pacjent mia\u0142 co najmniej 1 dodatni test aPL w ci\u0105gu 3 lat od zidentyfikowania klinicznego kryterium zwi\u0105zanego z aPL?<\/p>\n\n        <label style=\"display:flex;align-items:flex-start;gap:10px;padding:12px 14px;border:1px solid #e2e8f0;border-radius:16px;margin-bottom:10px;background:#fff;cursor:pointer;\">\n          <input type=\"radio\" name=\"rx-aps-entry\" id=\"rx-aps-entry-no\" value=\"no\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n          <span><strong>Nie<\/strong><\/span>\n        <\/label>\n\n        <label style=\"display:flex;align-items:flex-start;gap:10px;padding:12px 14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n          <input type=\"radio\" name=\"rx-aps-entry\" id=\"rx-aps-entry-yes\" value=\"yes\" style=\"margin-top:3px;accent-color:#0f766e;\">\n          <span><strong>Tak<\/strong><\/span>\n        <\/label>\n      <\/div>\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">2. Domeny kliniczne<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">W ka\u017cdej domenie wybierz najwy\u017cej punktowan\u0105 pasuj\u0105c\u0105 odpowied\u017a. Punkty mi\u0119dzy domenami sumuj\u0105 si\u0119.<\/p>\n\n        <div style=\"display:grid;gap:20px;\">\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">A. Makronaczyniowa zakrzepica \u017cylna (VTE)<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-vte\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Brak<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-vte\" value=\"1\" data-summary=\"VTE z high-risk VTE profile (+1)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>VTE z high-risk VTE profile<\/strong><br><span style=\"color:#475569;font-size:13px;\">obiektywnie potwierdzone, z istotnymi czynnikami ryzyka VTE \u2022 1 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-vte\" value=\"3\" data-summary=\"VTE bez high-risk VTE profile (+3)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>VTE bez high-risk VTE profile<\/strong><br><span style=\"color:#475569;font-size:13px;\">obiektywnie potwierdzone \u2022 3 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">B. Makronaczyniowa zakrzepica t\u0119tnicza<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-at\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Brak<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-at\" value=\"2\" data-summary=\"arterial thrombosis z high-risk CVD profile (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Zakrzepica t\u0119tnicza z high-risk CVD profile<\/strong><br><span style=\"color:#475569;font-size:13px;\">2 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-at\" value=\"4\" data-summary=\"arterial thrombosis bez high-risk CVD profile (+4)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Zakrzepica t\u0119tnicza bez high-risk CVD profile<\/strong><br><span style=\"color:#475569;font-size:13px;\">4 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">C. Mikrokr\u0105\u017cenie<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-micro\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Brak<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-micro\" value=\"2\" data-summary=\"suspected microvascular APS (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Suspected microvascular APS<\/strong><br><span style=\"color:#475569;font-size:13px;\">np. livedo racemosa \/ livedoid vasculopathy \/ aPL nephropathy \/ pulmonary hemorrhage \u2014 podejrzenie \u2022 2 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-micro\" value=\"5\" data-summary=\"established microvascular APS (+5)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Established microvascular APS<\/strong><br><span style=\"color:#475569;font-size:13px;\">np. potwierdzona livedoid vasculopathy, aPL nephropathy, pulmonary hemorrhage, myocardial disease, adrenal hemorrhage \u2022 5 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">D. Po\u0142o\u017cnicza<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-obstetric\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Brak<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-obstetric\" value=\"1\" data-summary=\"obstetric morbidity category 1 (+1)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>\u22653 kolejne straty przedp\u0142odowe \/ wczesne straty p\u0142odu<\/strong><br><span style=\"color:#475569;font-size:13px;\">lub \u015bmier\u0107 p\u0142odu 16+0 do 33+6 tyg. bez severe PEC\/PI \u2022 1 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-obstetric\" value=\"3\" data-summary=\"severe PEC or severe PI <34 weeks (+3)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Severe preeclampsia lub severe placental insufficiency &lt;34 tyg.<\/strong><br><span style=\"color:#475569;font-size:13px;\">z lub bez \u015bmierci p\u0142odu \u2022 3 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-obstetric\" value=\"4\" data-summary=\"severe PEC and severe PI <34 weeks (+4)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Severe preeclampsia i severe placental insufficiency &lt;34 tyg.<\/strong><br><span style=\"color:#475569;font-size:13px;\">z lub bez \u015bmierci p\u0142odu \u2022 4 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">E. Zastawki serca<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-valve\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Brak<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-valve\" value=\"2\" data-summary=\"valve thickening (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Pogrubienie zastawek<\/strong><br><span style=\"color:#475569;font-size:13px;\">2 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-valve\" value=\"4\" data-summary=\"valvular vegetation (+4)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Wegetacje zastawkowe<\/strong><br><span style=\"color:#475569;font-size:13px;\">4 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">F. Hematologiczna<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-heme\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Brak<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-heme\" value=\"2\" data-summary=\"thrombocytopenia 20\u2013130 x10^9\/L (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Ma\u0142op\u0142ytkowo\u015b\u0107<\/strong><br><span style=\"color:#475569;font-size:13px;\">najni\u017csza liczba p\u0142ytek 20\u2013130 \u00d710\u2079\/L \u2022 2 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">3. Domeny laboratoryjne<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">W ka\u017cdej domenie wybierz najwy\u017cej punktowan\u0105 pasuj\u0105c\u0105 odpowied\u017a. Punkty mi\u0119dzy domenami sumuj\u0105 si\u0119.<\/p>\n\n        <div style=\"display:grid;gap:20px;\">\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">A. Lupus anticoagulant (LAC)<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-lac\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>LAC ujemny<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-lac\" value=\"1\" data-summary=\"single one-time positive LAC (+1)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Pojedynczy dodatni LAC<\/strong><br><span style=\"color:#475569;font-size:13px;\">1 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-lac\" value=\"5\" data-summary=\"persistent positive LAC (+5)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Przetrwale dodatni LAC<\/strong><br><span style=\"color:#475569;font-size:13px;\">5 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">B. aCL \/ anty-\u03b22GPI<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-solid\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Brak dodatnich wynik\u00f3w kwalifikuj\u0105cych<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-solid\" value=\"1\" data-summary=\"moderate\/high IgM aCL and\/or a\u03b22GPI (+1)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Umiarkowanie \/ wysoko dodatnie IgM aCL i\/lub anty-\u03b22GPI<\/strong><br><span style=\"color:#475569;font-size:13px;\">1 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-solid\" value=\"4\" data-summary=\"moderate positive IgG aCL and\/or a\u03b22GPI (+4)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Umiarkowanie dodatnie IgG aCL i\/lub anty-\u03b22GPI<\/strong><br><span style=\"color:#475569;font-size:13px;\">4 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-solid\" value=\"5\" data-summary=\"high positive IgG aCL OR a\u03b22GPI (+5)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Wysoko dodatnie IgG aCL lub anty-\u03b22GPI<\/strong><br><span style=\"color:#475569;font-size:13px;\">5 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-aps-solid\" value=\"7\" data-summary=\"high positive IgG aCL AND a\u03b22GPI (+7)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Wysoko dodatnie IgG aCL i anty-\u03b22GPI jednocze\u015bnie<\/strong><br><span style=\"color:#475569;font-size:13px;\">7 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <div style=\"display:flex;flex-wrap:wrap;gap:12px;margin-top:2px;\">\n        <button\n          type=\"button\"\n          id=\"rx-aps-calc-btn\"\n          style=\"appearance:none;border:0;border-radius:16px;padding:14px 18px;background:linear-gradient(180deg,#0f766e 0%,#115e59 100%);color:#fff;font:inherit;font-weight:700;cursor:pointer;box-shadow:0 12px 24px rgba(15,118,110,.22);display:inline-flex;align-items:center;justify-content:center;min-width:180px;\"\n        >Oblicz wynik<\/button>\n\n        <button\n          type=\"button\"\n          id=\"rx-aps-clear-btn\"\n          style=\"appearance:none;border:1px solid #cbd5e1;border-radius:16px;padding:14px 18px;background:#fff;color:#0f172a;font:inherit;font-weight:700;cursor:pointer;display:inline-flex;align-items:center;justify-content:center;\"\n        >Wyczy\u015b\u0107<\/button>\n      <\/div>\n\n      <div id=\"rx-aps-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-aps-result-title\" style=\"margin:0 0 8px;font-size:18px;line-height:1.3;font-weight:800;color:#0f172a;\">Wynik pojawi si\u0119 tutaj<\/p>\n        <p id=\"rx-aps-result-text\" style=\"margin:0 0 8px;\">Zaznacz odpowiedzi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-aps-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Regu\u0142a: po spe\u0142nieniu warunku wej\u015bciowego zsumuj punkty kliniczne i laboratoryjne. Do klasyfikacji APS potrzeba \u22653 pkt klinicznych i \u22653 pkt laboratoryjnych.<\/p>\n      <\/div>\n\n      <div style=\"border:1px solid #e2e8f0;background:linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);border-radius:18px;padding:16px 18px;color:#475569;font-size:14px;\">\n        <strong style=\"color:#0f172a;\">Uwaga:<\/strong> to narz\u0119dzie wspiera klasyfikacj\u0119 APS do cel\u00f3w badawczych i nie zast\u0119puje pe\u0142nej oceny klinicznej. Kryteria klasyfikacyjne nie s\u0105 samodzielnym narz\u0119dziem diagnostycznym. Edukacyjnie. Nie zast\u0119puje konsultacji lekarskiej.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<script>\n(function () {\n  var calcBtn = document.getElementById('rx-aps-calc-btn');\n  var clearBtn = document.getElementById('rx-aps-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  function getSelectedValue(name) {\n    var selected = document.querySelector('input[name=\"' + name + '\"]:checked');\n    return selected ? parseInt(selected.value, 10) : 0;\n  }\n\n  function getSelectedSummary(name) {\n    var selected = document.querySelector('input[name=\"' + name + '\"]:checked');\n    return selected ? (selected.getAttribute('data-summary') || '') : '';\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var entryMet = document.getElementById('rx-aps-entry-yes').checked;\n\n    var clinicalDomains = [\n      'rx-aps-vte',\n      'rx-aps-at',\n      'rx-aps-micro',\n      'rx-aps-obstetric',\n      'rx-aps-valve',\n      'rx-aps-heme'\n    ];\n\n    var labDomains = [\n      'rx-aps-lac',\n      'rx-aps-solid'\n    ];\n\n    var clinicalScore = 0;\n    var labScore = 0;\n    var clinicalSummary = [];\n    var labSummary = [];\n\n    clinicalDomains.forEach(function (name) {\n      clinicalScore += getSelectedValue(name);\n      var item = getSelectedSummary(name);\n      if (item) clinicalSummary.push(item);\n    });\n\n    labDomains.forEach(function (name) {\n      labScore += getSelectedValue(name);\n      var item = getSelectedSummary(name);\n      if (item) labSummary.push(item);\n    });\n\n    var result = document.getElementById('rx-aps-result');\n    var title = document.getElementById('rx-aps-result-title');\n    var text = document.getElementById('rx-aps-result-text');\n    var note = document.getElementById('rx-aps-result-note');\n\n    result.style.display = 'block';\n\n    if (!entryMet) {\n      result.style.background = '#fef2f2';\n      result.style.border = '1px solid #fecaca';\n      title.style.color = '#991b1b';\n      title.innerHTML = 'Warunek wej\u015bciowy niespe\u0142niony';\n      text.innerHTML = 'Kryteri\u00f3w ACR\/EULAR 2023 dla APS nie stosuje si\u0119 bez co najmniej 1 dodatniego testu aPL w ci\u0105gu 3 lat od kryterium klinicznego zwi\u0105zanego z aPL.';\n      note.innerHTML = 'Najpierw musi by\u0107 spe\u0142niony warunek wej\u015bciowy, dopiero potem interpretuje si\u0119 wynik punktowy.';\n      return;\n    }\n\n    if (clinicalScore >= 3 && labScore >= 3) {\n      result.style.background = '#f0fdf4';\n      result.style.border = '1px solid #bbf7d0';\n      title.style.color = '#166534';\n      title.innerHTML = 'Kryteria spe\u0142nione';\n      text.innerHTML = 'Spe\u0142niono kryteria klasyfikacyjne ACR\/EULAR 2023 dla zespo\u0142u antyfosfolipidowego.';\n      note.innerHTML = 'Punkty kliniczne: ' + clinicalScore + '. Punkty laboratoryjne: ' + labScore + '.';\n      if (clinicalSummary.length) {\n        note.innerHTML += ' Domeny kliniczne: ' + clinicalSummary.join('; ') + '.';\n      }\n      if (labSummary.length) {\n        note.innerHTML += ' Domeny laboratoryjne: ' + labSummary.join('; ') + '.';\n      }\n    } else {\n      result.style.background = '#fffbeb';\n      result.style.border = '1px solid #fde68a';\n      title.style.color = '#92400e';\n      title.innerHTML = 'Kryteria niespe\u0142nione';\n      text.innerHTML = 'Nie osi\u0105gni\u0119to wymaganego progu klasyfikacyjnego dla APS wed\u0142ug ACR\/EULAR 2023.';\n      note.innerHTML = 'Punkty kliniczne: ' + clinicalScore + ' \/ wymagane \u22653. Punkty laboratoryjne: ' + labScore + ' \/ wymagane \u22653.';\n      if (clinicalSummary.length) {\n        note.innerHTML += ' Domeny kliniczne: ' + clinicalSummary.join('; ') + '.';\n      }\n      if (labSummary.length) {\n        note.innerHTML += ' Domeny laboratoryjne: ' + labSummary.join('; ') + '.';\n      }\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-aps-entry-no').checked = true;\n\n    document.querySelector('input[name=\"rx-aps-vte\"][value=\"0\"]').checked = true;\n    document.querySelector('input[name=\"rx-aps-at\"][value=\"0\"]').checked = true;\n    document.querySelector('input[name=\"rx-aps-micro\"][value=\"0\"]').checked = true;\n    document.querySelector('input[name=\"rx-aps-obstetric\"][value=\"0\"]').checked = true;\n    document.querySelector('input[name=\"rx-aps-valve\"][value=\"0\"]').checked = true;\n    document.querySelector('input[name=\"rx-aps-heme\"][value=\"0\"]').checked = true;\n    document.querySelector('input[name=\"rx-aps-lac\"][value=\"0\"]').checked = true;\n    document.querySelector('input[name=\"rx-aps-solid\"][value=\"0\"]').checked = true;\n\n    document.getElementById('rx-aps-result').style.display = 'block';\n    document.getElementById('rx-aps-result').style.background = '#f8fafc';\n    document.getElementById('rx-aps-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-aps-result-title').style.color = '#0f172a';\n    document.getElementById('rx-aps-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-aps-result-text').innerHTML = 'Zaznacz odpowiedzi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('rx-aps-result-note').innerHTML = 'Regu\u0142a: po spe\u0142nieniu warunku wej\u015bciowego zsumuj punkty kliniczne i laboratoryjne. Do klasyfikacji APS potrzeba \u22653 pkt klinicznych i \u22653 pkt laboratoryjnych.';\n  });\n})();\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Kalkulator klasyfikacyjny Zesp\u00f3\u0142 antyfosfolipidowy (APS) \u2014 ACR\/EULAR 2023 Najpierw wymagane jest spe\u0142nienie warunku wej\u015bciowego: co najmniej 1 dodatni test aPL w ci\u0105gu 3 lat od kryterium klinicznego zwi\u0105zanego z aPL. Nast\u0119pnie sumuje si\u0119 punkty z domen klinicznych i laboratoryjnych; do klasyfikacji APS potrzeba co najmniej 3 pkt klinicznych i 3 pkt laboratoryjnych. 1. Warunek wej\u015bciowy&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":980,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-305","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/305","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/comments?post=305"}],"version-history":[{"count":3,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/305\/revisions"}],"predecessor-version":[{"id":1147,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/305\/revisions\/1147"}],"up":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/980"}],"wp:attachment":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/media?parent=305"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}