RESP score for VV ECMO survival

Tool to predict survival in patients receiving Venovenous (VV) Extracorporeal Membrane Oxygenation (ECMO)

Age?

years

Presets:

Immunocompromised?

Mechanical ventilation prior to ECMO initiation?

Acute Respiratory diagnosis group (select only one)?

History of central nervous system dysfunction?

Acute associated (non-pulmonary) infection?

Neuromuscular blockade before ECMO?

Nitric oxide use before ECMO?

Bicarbonate infusion before ECMO?

Cardiac arrest before ECMO?

PaCO2?

Peak inspiratory pressure?

About

The RESP score is a validated clinical tool to predict in-hospital survival in patients receiving Extracorporeal membrane oxygenation (ECMO) for respiratory failure.

RESP score is calculated based 12 pre-ECMO clinical variables that have independent association with hospital survival. These variables were identified in a study (Schmidt 2014) involving 2,355 patients in the Extracorporeal Life Support Organization (ELSO) registry who received ECMO for acute respiratory failure. The score was additionally validated in a cohort of 140 patients.

Total RESP Score	Risk Class	Survival
≥6	I	92%
3 to 5	II	76%
-1 to 2	III	57%
-5 to -2	IV	33%
≤-6	V	18%

Published Literature & References:

[1]
Schmidt M, Bailey M, Sheldrake J,Hodgson C, Aubron C, Rycus PT, Scheinkestel C 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;189:1374–1382.

Results

Real-time automated computation

0/1 calculated

RESP Score

Awaiting input values...

Clinical Parameters (0/12)

Medical calculation formulas standardized according to evidence-based clinical protocols.

About

The RESP score is a validated clinical tool to predict in-hospital survival in patients receiving Extracorporeal membrane oxygenation (ECMO) for respiratory failure.

Total RESP Score	Risk Class	Survival
≥6	I	92%
3 to 5	II	76%
-1 to 2	III	57%
-5 to -2	IV	33%
≤-6	V	18%

Published Literature & References:

[1]
Schmidt M, Bailey M, Sheldrake J,Hodgson C, Aubron C, Rycus PT, Scheinkestel C 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;189:1374–1382.