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The PRESET Score (PREdict Survival on ECMO Therapy) predicts in-hospital mortality in patients receiving venoarterial (VA) ECMO for refractory cardiogenic shock or cardiac arrest (ECPR — extracorporeal CPR). It was derived from a large multicenter French registry (ARCARDIA) of over 600 VA-ECMO patients and assigns points across 7 clinical variables at time of ECMO initiation. Higher PRESET score = higher predicted in-hospital mortality. Complements other ECMO selection tools (SAVE score for ECMO-on-arrival, SOFA, lactate clearance assessment).
Refractory Cardiac Arrest (ECPR) as indication for ECMO
Age
Body Mass Index (BMI)
Creatinine (at time of ECMO initiation)
Arterial Lactate (at time of ECMO initiation)
Plasma Cholesterol (marker of nutritional/metabolic reserve)
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