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Table 1 Risk scores for management of cardiogenic shock

From: Mechanical circulatory support in cardiogenic shock

Study

Variables

Score ranges

IABP shock II risk score [68]

6 indices:

â‘  Age > 73 years (1 pt)

â‘¡ History of stroke (2 pt)

â‘¢ BS > 10.6 mmol/L (191 mg/dL) (1 pt)

④ Cre > 132.6 μmol/L (1.5 mg/dL) (1 pt)

⑤ Arterial lac > 5 mmol/L (2 pt)

â‘¥ TIMI flow grade < 3 after PCI (2 pt)

30-day mortality risk

 Low (0–2) (24%)

 Intermediate (3–4) (49%)

 High (5–9) (77%)

SAVE score [69]

7 indices:

① Etiology: myocarditis (3 pt), refractory VT/VF (2 pt), post heart/lung transplantation (3 pt), congenital heart disease (− 3 pt)

② Age : 18–38 yr (7 pt), 39–52 yr (4 pt), 53–62 yr (3 pt), ≥ 63yr (0 pt)

③ Weight : < 65kg (1 pt), 65–89 kg (2 pt), ≥ 90 kg (0 pt)

④ Cardiac: pre-ECMO cardiac arrest (− 2 pt), diastolic BP before ECMO ≥ 40 mmHg (3 pt), pulse pressure before ECMO ≤ 20 mmHg (− 2 pt)

⑤ Respiratory: peak inspiratory pressure ≤ 20 cmH2O (3 pt), duration of intubation pre ECMO; ≤ 10 h (0 pt), 11–29 h (−2 pt), ≥ 30h (− 4 pt)

â‘¥ Renal dysfunction : acute renal failure (− 3 pt), chronic renal failure (− 6 pt), HCO3 pre ECMO ≤ 15 mmol/L (− 3 pt)

⑦ Other organ failure: liver failure (− 3 pt), CNS dysfunction (− 3 pt)

In-hospital survival rate

 Risk I >5 (75%)

 Risk II 1 to 5  (58%)

 Risk III − 4 to 0  (42%)

 Risk IV − 9 to − 5  (30%)

 Risk V ≤ − 10 ( (18%)

ENCOURAGE mortality risk score [70]

7 indices:

â‘  Age >60 (5 pt)

â‘¡ Gender: female (7 pt)

â‘¢ BMI > 25 kg/m2 (6 pt)

â‘£ GCS < 6 (6 pt)

⑤ Cre >150 μmol/L or 1.7 mg/dL (5 pt)

⑥ Lac : < 2 mmol/L (0 pt), 2–8 mmol/L (8 pt), > 8 mmol/L (11 pt)

⑦ Reduced prothrombin activity < 50% (5 pt)

1 month survival rate

 0–12  (92%)

 13–18 (70%)

 19–22  (35%)

 23–27  (28%)

 â‰¥ 28  (17%)

  1. BS blood sugar, Cre creatinine, TIMI thrombolysis in myocardial infarction, ECMO extra corporeal membrane oxygenation, BP blood pressure, CNS central nerve system, BMI body mass index, Lac lactate
  2. This figure was synthesized from the articles on IABP Shock II risk score [68], SAVE (Survival After Veno-arterial ECMO) score [69] and ENCOURAGE (prEdictioN of Cardiogenic shock OUtcome foR AMI patients salvaGed by VA-ECMO) mortality risk score [70]