Pratt Elias H, Morrison Samantha, Green Cynthia L, Rackley Craig R
Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University School of Medicine, Durham, NC, USA.
Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
J Intensive Care. 2023 Sep 1;11(1):37. doi: 10.1186/s40560-023-00686-z.
The respiratory ECMO survival prediction (RESP) score is used to predict survival for patients managed with extracorporeal membrane oxygenation (ECMO), but its performance in patients with Coronavirus Disease 2019 (COVID-19) acute respiratory distress syndrome (ARDS) is unclear. We evaluated the ability of the RESP score to predict survival for patients with both non-COVID 19 ARDS and COVID-19 ARDS managed with ECMO at our institution. Receiver operating characteristic area under the curve (AUC) analysis found the RESP score reasonably predicted survival in patients with non-COVID-19 ARDS (AUC 0.76, 95% CI 0.68-0.83), but not patients with COVID-19 ARDS (AUC 0.54, 95% CI 0.41-0.66).
呼吸体外膜肺氧合生存预测(RESP)评分用于预测接受体外膜肺氧合(ECMO)治疗患者的生存情况,但其在2019冠状病毒病(COVID-19)急性呼吸窘迫综合征(ARDS)患者中的表现尚不清楚。我们评估了RESP评分对我院接受ECMO治疗的非COVID-19 ARDS和COVID-19 ARDS患者生存情况的预测能力。受试者工作特征曲线下面积(AUC)分析发现,RESP评分能合理预测非COVID-19 ARDS患者的生存情况(AUC 0.76,95%CI 0.68-0.83),但不能预测COVID-19 ARDS患者的生存情况(AUC 0.54,95%CI 0.41-0.66)。