Ability of the respiratory ECMO survival prediction (RESP) score to predict survival for patients with COVID-19 ARDS and non-COVID-19 ARDS: a single-center retrospective study

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作者
Elias H. Pratt
Samantha Morrison
Cynthia L. Green
Craig R. Rackley
机构
[1] Duke University School of Medicine,Division of Pulmonary, Allergy, and Critical Care Medicine
[2] Duke University School of Medicine,Department of Biostatistics and Bioinformatics
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COVID-19; ARDS; Venovenous ECMO; ROC curve; In-hospital mortality;
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摘要
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).
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