The GOCA stratification system can provide clinical insights into a patient's acute respiratory distress syndrome (ARDS).
Parameters:
(1) gas exchange (G), based on PaO2/FIO2 ratio, plus letter designation for PEEP
(2) organ failure (O)
(3) cause (C)
(4) associated diseases (A)
|
Parameter
|
Finding
|
Scale
|
|
gas exchange
|
PaO2/FIO2 >= 301
|
0
|
|
|
PaO2/FIO2 201 to 300
|
1
|
|
|
PaO2/FIO2 101 to 200
|
2
|
|
|
PaO2/FIO2 <= 100
|
3
|
|
PEEP
|
none, spontaneous breathing
|
A
|
|
|
0-5 cm H2O, assisted breathing
|
B
|
|
|
6-10 cm H2O, assisted breathing
|
C
|
|
|
> 10 cm H2O, assisted breathing
|
D
|
|
organ failure
|
lung only
|
0
|
|
|
lung plus 1 organ
|
1
|
|
|
lung plus 2 organs
|
2
|
|
|
lung plus >= 3 organs
|
3
|
|
cause
|
unknown
|
0
|
|
|
direct lung injury
|
1
|
|
|
indirect lung injury
|
2
|
|
associated disease
|
none that will cause death within 5 years
|
0
|
|
|
present, death > 6 months but < 5 years
|
1
|
|
|
present, death <= 6 months
|
2
|
score =
= SUM(numeric points)
Interpretation:
• minimum score: 0
• maximum score: 10
