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      Calc Function

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    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
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    • Suggested protocolsAlgorithm

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    Patent Pending

    SAVE (Survival after Veno-Arterial ECMO) Score

    Predicts in-hospital survival in adult patients after VA ECMO for refractory cardiogenic shock.
    When to Use
    Pearls/Pitfalls
    Why Use

    • Patients with refractory cardiogenic shock in whom veno-arterial (VA) ECMO is being considered.

    • Do not use in patients receiving veno-venous (VV) ECMO (see 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 VA ECMO, and likely excluded many patients who may have had different survival rates.

    • Patients receiving CPR during cannulation (eCPR) were not included in the derivation of the SAVE Score; therefore, the score may not apply to these patients.

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

    18-38
    +7
    39-52
    +4
    53-62
    +3
    ≥63
    0
    <143 lbs (<65 kg)
    +1
    143-196 lbs (65-89 kg)
    +2
    >196 lbs (>89 kg)
    0
    Etiology of cardiogenic shock
    No
    0
    Yes
    +3
    No
    0
    Yes
    +2
    No
    0
    Yes
    +3
    No
    0
    Yes
    -3
    Renal
    No
    0
    Yes
    -3
    No
    0
    Yes
    -6
    No
    0
    Yes
    -3
    Respiratory
    ≤10
    0
    11-29
    -2
    ≥30
    -4
    No
    0
    Yes
    +3
    Cardiac
    No
    0
    Yes
    -2
    No
    0
    Yes
    +3
    No
    0
    Yes
    -2
    Other organ failures pre-ECMO
    No
    0
    Yes
    -3
    No
    0
    Yes
    -3

    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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