Risk Score of Peigh et al for a Patient with Extracorporeal Membrane Oxygenation (ECMO) for a Cardiac Disorder

Description

Peigh et al reported a risk score for a patient with cardiac disease who requires extracorporeal membrane oxygenation (ECMO) support. This can help to identify a patient who may require more aggressive management. The authors are from Thomas Jefferson University in Philadelphia.

Patient selection: cardiac disease requiring ECMO

Outcome: mortality

Parameters:

(1) postcardiotomy

(2) blood lactate in mmol/L

(3) RIFLE score for renal status

Parameter	Finding	Points
postcardiotomy	no	0
	yes	2
blood lactate	<= 2 mmol/L	0
	> 2 mmol/L	2
RIFLE	injury, failure, loss of function, ESRD	1
	other	0

total score =

= SUM(points for all 3 parameters)

Interpretation:

• minimum score: 0

• maximum score: 5

• The higher the score the greater the mortality.

Total Score	Mortality Rate
0	0%
1	20%
2	29%
3	50%
4	71%
5	100%

mortality rate in percent =

= (19.26 * (score)) - 22.4

Performance:

• The area under the ROC curve is 0.77.

To read more or access our algorithms and calculators, please log in or register.

Risk Score of Peigh et al for a Patient with Extracorporeal Membrane Oxygenation (ECMO) for a Cardiac Disorder

Description

Specialty