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% |
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.
Specialty: Cardiology
Objective: other testing
ICD-10: I46,