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      Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    Patent Pending

    RESP (Respiratory ECMO Survival Prediction) Score

    Predicts in-hospital survival in adult patients after ECMO for acute respiratory failure.

    IMPORTANT

    We launched a COVID-19 Resource Center, including a critical review of recommended calcs.

    Tips for COVID-19: Use to determine ECMO. Predicts chances of mortality after on ECMO, performing better in validations than PRESET Score. Maybe helpful as one of many factors in Crisis Standards of Care decisions. See MDCalc Review: Calcs for Resource Limited Situations.

    When to Use
    Pearls/Pitfalls
    Why Use

    • Patients receiving veno-venous (VV) and veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) for acute respiratory failure.

    • Do not use in patients receiving VA ECMO for cardiogenic shock (see SAVE Score).

    • The RESP Score only predicts survival to hospital discharge and does not predict neurologic function or functional status, which may be important considerations.

    • The score was derived from a cohort of patients who were placed on ECMO, and likely excluded many patients who may have had different survival rates.

    • Prone positioning was not included in the derivation of the RESP Score, and its effect on the predictive value of the score is unknown.

    ECMO is a resource-intensive endeavor with high morbidity, and patients should be selected carefully. Survival estimates may aid the decision process.

    18-49
    0
    50-59
    -2
    ≥60
    -3
    No
    0
    Yes
    -2
    >7 days
    0
    48 hours to 7 days
    +1
    <48 hours
    +3
    Viral pneumonia
    +3
    Bacterial pneumonia
    +3
    Asthma
    +11
    Trauma or burn
    +3
    Aspiration pneumonitis
    +5
    Other acute respiratory diagnosis
    +1
    Nonrespiratory or chronic respiratory diagnosis
    0
    No
    0
    Yes
    -7
    No
    0
    Yes
    -3
    No
    0
    Yes
    +1
    No
    0
    Yes
    -1
    No
    0
    Yes
    -2
    No
    0
    Yes
    -2
    No
    0
    Yes
    -1
    No
    0
    Yes
    -1
    Confirmed positive
    Suspected
    Unlikely
    Confirmed negative

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Matthieu Schmidt

    About the Creator

    Matthieu Schmidt, MD, PhD, is an assistant professor in Sorbonne Université and in medical intensive care at the Pitié-Salpêtrière Hospital in Paris, France. With more than 100 peer-review publications referenced in PubMed, Dr. Schmidt’s primary research is focused on extracorporeal membrane oxygenation, severe acute respiratory distress syndrome, patient-ventilator interactions, and refractory cardiogenic shock.

    To view Dr. Matthieu Schmidt's publications, visit PubMed

    Are you Dr. Matthieu Schmidt? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
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