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Thoracic surgery · Pulmonology

RESECT-90 Score calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

years

Allowed range: 18–100 years

Quick picks
Sex
grade

Allowed range: 0–4 grade

Quick picks

WHO or ECOG grade from 0 to 4. Each grade adds 0.183 to the logit.

% predicted

Allowed range: 5–200 % predicted

Quick picks

Diffusing capacity of the lung for carbon monoxide, as a percent of the predicted value.

kg/m2

Allowed range: 10–70 kg/m2

Quick picks
mg/dL

Allowed range: 0.23–16.97 mg/dL

The model uses µmol/L. A value typed in mg/dL is multiplied by 88.4 before the coefficient 0.005 is applied.

g/dL

Allowed range: 4–22 g/dL

Quick picks

The model uses g/L. Anaemia is haemoglobin below 120 g/L in women and below 130 g/L in men. A value at the threshold is not anaemic. A value typed in g/dL is multiplied by 10.

Preoperative arrhythmia
Right-sided resection
segments

Allowed range: 0–20 segments

Quick picks

Count of bronchopulmonary segments removed. Each segment adds 0.179 to the logit.

Open thoracotomy
Malignant diagnosis, confirmed or suspected

Result

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Clinical inputs

  • Age (years)Accepted range: 18 to 100
  • Sex
  • Performance status (grade)Accepted range: 0 to 4
  • Percent predicted DLCO (% predicted)Accepted range: 5 to 200
  • Body mass index (kg/m2)Accepted range: 10 to 70
  • Serum creatinine (µmol/L)Accepted range: 20 to 1500
  • Haemoglobin (g/L)Accepted range: 40 to 220
  • Preoperative arrhythmia
  • Right-sided resection
  • Resected bronchopulmonary segmentsAccepted range: 0 to 20
  • Open thoracotomy
  • Malignant diagnosis, confirmed or suspected

Primary source

Taylor M et al. Development and internal validation of a clinical prediction model for 90-day mortality after lung resection: the RESECT-90 score. Interact Cardiovasc Thorac Surg. DOI: 10.1093/icvts/ivab200. PMID: 34324664. The printed equation is logit = −6.036 + 0.041×age in years + 0.493 if male + 0.183×performance status + −0.029×percent predicted DLCO + −0.056×BMI in kg/m2 + 0.005×creatinine in µmol/L + 0.242 if anaemic + 0.608 if arrhythmia + 0.379 if the resection is right-sided + 0.179×number of resected bronchopulmonary segments + 0.634 if thoracotomy + 0.769 if the diagnosis is malignant. Probability = 1 / (1 + exp(−logit)). Table 3 lists the same coefficients. Anaemia is haemoglobin below 120 g/L in women and below 130 g/L in men. The paper does not print a probability cutoff. (2021)

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