Good Outcome Following Attempted Resuscitation - GO-FAR Score

Description

Ebell et al developed the GO-FAR (good outcome following attempted resuscitation) score to evaluate patients who have undergone in-hospital cardiopulmonary resuscitation (CPR). This can help to identify patients who may or may not benefit from CPR. The authors are from the University of Georgia, Seoul National University and the Johns Hopkins University.

Patient selection: children and adults undergoing in-hospital CPR for cardiac arrest

Outcome: likelihood of surviving neurologically intact or with minimal deficits (Cerebral Performance Category score 1)

Parameters (prior to cardiac arrest):

(1) age in years

(2) neurologic status at admission

(3) major trauma

(4) acute stroke

(5) metastatic or hematologic malignancy

(6) septicemia

(7) noncardiac medical diagnosis (other)

(8) hepatic insufficiency

(9) admission from skilled nursing facility

(10) hypoperfusion or hypotension

(11) renal insufficiency or dialysis dependent

(12) respiratory insufficiency

(13) pneumonia

Parameter	Finding	Points
age in years	< 70 years	0
	70 to 74 years	2
	75 to 79 years	5
	80 to 84 years	6
	>= 85 years	11
neurologic status on admission	intact or minimal deficit	-15
	definite deficit	0
major trauma	absent	0
	present	10
acute stroke	absent	0
	present	8
metastatic or hematologic malignancy	absent	0
	present	7
septicemia	absent	0
	present	7
medical noncardiac diagnosis	absent	0
	present	7
hepatic insufficiency	absent	0
	present	6
admitted from skilled nursing facility	absent	0
	present	6
hypotension or hypoperfursion	absent	0
	present	5
renal insufficiency or dialysis	absent	0
	present	4
respiratory insufficiency	absent	0
	present	4
pneumonia	absent	0
	present	1

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: -13

• maximum score: 76

• The higher the score the worse the prognosis after CPR.

Score	Good Outcome	Perceent
<= -6	above average	> 15%
-5 to 13	average	3.1 to 15%
14 to 23	low	1 to 3%
>= 24	very low	< 1%

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Description

Specialty

Objective

ICD-10

Good Outcome Following Attempted Resuscitation - GO-FAR Score

Purpose: To determine if a patient is likely to benefit from CPR following in-hospital cardiac arrest using the GO-FAR score of Ebell et al.

Description

Specialty

Objective

ICD-10