RESP Score Calculator

RESP Score Calculator

The RESP score is used to calculate expected in-hospital mortality in patients undergoing ECMO for respiratory failure (e.g. VV-ECMO). Patients with non-respiratory indications (e.g. cardiogenic shock) were excluded from the cohort used to develop this score.

Age, years:
18-49 (0)
50-59 (-2)
≥60 (-3)
Immunocompromised status:
No (0)
Yes (-2)
Mechanically ventilated before ECMO:
>7 days (0)
48 hours to 7 days (1)
<48 hours (3)
Diagnosis:
Viral pneumonia (3)
Bacterial pneumonia (3)
Asthma (11)
Trauma or burn (3)
Aspiration pneumonitis (5)
Other acute respiratory (1)
Nonrespiratory or chronic (0)
History of central nervous system dysfunction:
No (0)
Yes (-7)
Acute associated nonpulmonary infection:
No (0)
Yes (-3)
Neuromuscular blockade before ECMO:
No (0)
Yes (1)
Nitric oxide before ECMO:
No (0)
Yes (-1)
Bicarbonate infusion before ECMO:
No (0)
Yes (-2)
Cardiac arrest before ECMO:
No (0)
Yes (-2)
PaCO₂ ≥75 mmHg:
No (0)
Yes (-1)
Peak inspiratory pressure ≥42 cm H₂O:
No (0)
Yes (-1)
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