$PROBLEM Midazolam PK in critically ill Children $INPUT ID TIME ; in hours CMT AMT ; in microgram RATE ; in microgram / hour DV ; in microgram / L MDV ORGF ; number of organs that are failig WT ; bodyweight in kg CRP ; CRP concentration in mg/L $DATA Data20150701.csv IGNORE=@ $SUBROUTINES ADVAN6 TOL=6 $MODEL COMP=(CENTRAL) COMP=(PERIPH) $PK OCC=1 IF(TIME.GE.24)OCC=2 IF(TIME.GE.48)OCC=3 IF(TIME.GE.72)OCC=4 IF(TIME.GE.96)OCC=5 IF(TIME.GE.120)OCC=6 FLAG1=0 FLAG2=0 FLAG3=0 FLAG4=0 FLAG5=0 FLAG6=0 IF(OCC.EQ.1) FLAG1 = 1 IF(OCC.EQ.2) FLAG2 = 1 IF(OCC.EQ.3) FLAG3 = 1 IF(OCC.EQ.4) FLAG4 = 1 IF(OCC.EQ.5) FLAG5 = 1 IF(OCC.EQ.6) FLAG6 = 1 IOV=FLAG1*ETA(3)+FLAG2*ETA(4)+FLAG3*ETA(5)+FLAG4*ETA(6)+FLAG5*ETA(7)+FLAG6*ETA(8) IIVCL = ETA(1) ETCL = IIVCL + IOV IF (ORGF.EQ.0) TVCL = THETA(1) * (WT/5)**(THETA(5)) * (CRP/32)**THETA(11) IF (ORGF.EQ.1) TVCL = THETA(7) * (WT/5)**(THETA(5)) * (CRP/32)**THETA(11) IF (ORGF.EQ.2) TVCL = THETA(8) * (WT/5)**(THETA(5)) * (CRP/32)**THETA(11) IF (ORGF.EQ.3) TVCL = THETA(9) * (WT/5)**(THETA(5)) * (CRP/32)**THETA(11) IF (ORGF.GT.3.5) TVCL = THETA(10) * (WT/5)**(THETA(5)) * (CRP/32)**THETA(11) CL = TVCL * EXP(ETCL) TVV1 = THETA(2) * (WT/5)**(THETA(6)) V1 = TVV1 * EXP(ETA(2)) TVQ = THETA(3) Q = TVQ TVV2 = THETA(4) V2 = TVV2 S1 = V1 K10 = CL/V1 K12 = Q/V1 K21 = Q/V2 $DES DADT(1) = -K10*A(1) - K12*A(1) + K21*A(2) DADT(2) = K12*A(1) - K21*A(2) $ERROR Y=F*(1+ERR(1))+ERR(2) IPRED=F $THETA 1.6 FIX ;CL orgf = 0 (0.001, 10 ) ;V1 (L) (0.001, 1 ) ;Q (L/h) (0.001, 10 ) ;V2 (L) (0.001, 0.75) ;WT-CL pow (0.001, 0.75) ;WT-V1 pow (0.001, 1 ) ;CL orgf 1 (0.001, 1 ) ;CL orgf 2 (0.001, 1 ) ;CL orgf 3 (0.001, 1 ) ;CL orgf 4/5 (-5, -0.5) ;CRP-CL pwr $OMEGA 0.1 ;IIV CL 0.1 ;IIV V1 $OMEGA BLOCK(1) 0.05 ;IOV $OMEGA BLOCK(1) SAME ;IOV day2 $OMEGA BLOCK(1) SAME ;IOV day3 $OMEGA BLOCK(1) SAME ;IOV day4 $OMEGA BLOCK(1) SAME ;IOV day5 $OMEGA BLOCK(1) SAME ;IOV day6 $SIGMA 0.1 ;Proportional error PK 0.1 ;Additive error PK $EST METHOD=1 INTER MAXEVAL=2000 NOABORT SIG=3 PRINT=5 POSTHOC $COV PRINT=E $TABLE ID TIME DV MDV PRED IPRED CWRES WT ONEHEADER NOPRINT FILE=sdtab $TABLE ID CL V1 V2 Q ETA(1) ETA(2) ETCL IOV WT ORGF CRP ONEHEADER NOPRINT FIRSTONLY FILE=patab