RESP_score_respiratory_ecmo_survival_prediction v.1
RESP (Respiratory ECMO Survival Prediction) Score is a tool to predict in-hospital survival for patients with adult respiratory failure treated with ECMO.
To predict in-hospital survival for patients with adult respiratory failure treated with ECMO.
To be used in cases of patients receiving veno-venous (VV) and veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) for the treatment of acute respiratory failure. The RESP score is calculated by accumulating points from 12 pre-ECMO parameters: age, immunocompromised status, mechanical ventilation time before initiation of ECMO, acute respiratory failure diagnosis group, CNS dysfunction, acute nonpulmonary-associated infection, neuromuscular blocking agents, nitric oxide use, bicarbonate infusion, cardiac arrest, PaCO2, and PIP (Peak Inspiratory Pressure). The score ranges from -22 to 15, and to be classified into 5 risk classes to provides information regarding the predicted in-hospital survival rate.
Not to be used in patients receiving VA ECMO for cardiogenic shock.
1. Schmidt M, Bailey M, Sheldrake J, et al. Predicting survival after extracorporeal membrane oxygenation for severe acute respiratory failure. The Respiratory Extracorporeal Membrane Oxygenation Survival Prediction (RESP) score. Am J Respir Crit Care Med. 2014;189(11):1374-82. 2. Brunet J, Valette X, Buklas D, et al. Predicting Survival After Extracorporeal Membrane Oxygenation for ARDS: An External Validation of RESP and PRESERVE Scores. Respir Care. 2017;62(7):912-919.
OBSERVATION.basic_demographic.v1, OBSERVATION.resp_score.v0, EVALUATION.resp_score.v0
