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go_far_calculator

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Prochaine révision		Révision précédente
go_far_calculator [2017/02/27 01:06] – supprimée arianego_far_calculator [2023/12/07 16:14] (Version actuelle) – labadmin
Ligne 1: Ligne 1:
 +~~NOCACHE~~
  
 +======  Good Outcome Following Attempted Resuscitation (GO-FAR) Score to Predict Neurologically Intact Survival After In-Hospital Cardiopulmonary Resuscitation  ======
 +Original paper: Ebell et al http://archinte.jamanetwork.com/article.aspx?articleid=1735894
 +
 +**Warning:This calculator should not be used alone, but in the context of shared decision-making between a doctor, a patient and his / her relatives.**
 +
 +Check each condition present on admission to the hospital to calculate total score and probability of survival.
 +
 +
 +<html>
 +<script type="text/javascript">
 +function checkCalcul(me)
 +{
 +  var score=0;
 +  var select = document.getElementById("age");
 +  var valeur = select.options[select.selectedIndex].value;
 +  
 +  if (valeur == 'choix1') {score = score + 0; pronostic(score);}
 +  else if (valeur == 'choix2') {score = score + 2; pronostic(score);}
 +  else if (valeur == 'choix3') {score = score + 5; pronostic(score);}
 +  else if (valeur == 'choix4') {score = score + 6; pronostic(score);}
 +  else if (valeur == 'choix5') {score = score + 11; pronostic(score);}
 +  
 +  var listeChoix = document.getElementsByName('options[]'); 
 +  
 +  for (var i=0, liste = listeChoix.length; i < liste; i++) {
 +   if (listeChoix[i].checked) {
 +     if (listeChoix[i].value=='1') {score = score -15; pronostic(score);}
 +     else if (listeChoix[i].value=='2') {score = score + 10; pronostic(score);}
 +     else if (listeChoix[i].value=='3') {score = score + 8; pronostic(score);}
 +     else if (listeChoix[i].value=='4') {score = score + 7; pronostic(score);}
 +     else if (listeChoix[i].value=='5') {score = score + 7; pronostic(score);}
 +     else if (listeChoix[i].value=='6') {score = score + 7; pronostic(score);}
 +     else if (listeChoix[i].value=='7') {score = score + 6; pronostic(score);}
 +     else if (listeChoix[i].value=='8') {score = score + 6; pronostic(score);}
 +     else if (listeChoix[i].value=='9') {score = score + 5; pronostic(score);}
 +     else if (listeChoix[i].value=='10') {score = score + 4; pronostic(score);}
 +     else if (listeChoix[i].value=='11') {score = score + 4; pronostic(score);}
 +     else if (listeChoix[i].value=='12') {score = score + 1; pronostic(score);}
 +    } 
 +  }
 +  pronostic(score);
 +}
 +
 +function pronostic(score)
 +{ 
 +  if (score == 0) {
 +   document.getElementById('messageScore').innerHTML="";
 +   document.getElementById('messagePronostic').innerHTML="<a href='_media/prediction0_english.jpg' target='_blank'><img src='_media/prediction0_english.jpg' style='top: -221px!important;' class='graph'></a>";
 +   } 
 +   else if (score >= -15 && score<= -6) {
 +     document.getElementById('messageScore').innerHTML="<b>GO-FAR score: "+ score;
 +     document.getElementById('messagePronostic').innerHTML="<b> Probability of survival to discharge with good neurologic status following CPR for in-hospital arrest (CPC 1) above average: 27.8% <a href='_media/prediction4_english.jpg' target='_blank'><img src='_media/prediction4_english.jpg' class='graph' alt='Probability of survival to discharge with good neurologic status following CPR for in-hospital arrest (CPC 1) above average: 27.8%'></a>";
 +   } 
 +   else if (score >= -5 && score <= 13) {
 +   document.getElementById('messageScore').innerHTML="<b>GO-FAR score: "+ score;
 +   document.getElementById('messagePronostic').innerHTML="<b>Probability of survival to discharge with good neurologic status following CPR for in-hospital arrest (CPC 1):Average 9.2% <a href='_media/prediction3_english.jpg' target='_blank'><img src='_media/prediction3_english.jpg' class='graph' alt='robability of survival to discharge with good neurologic status following CPR for in-hospital arrest (CPC 1):Average 9.2%'></a>";
 +   } 
 +   else if (score >= 14 && score <= 23) {  
 +     document.getElementById('messageScore').innerHTML="<b>GO-FAR score: "+ score;
 +     document.getElementById('messagePronostic').innerHTML="<b>Probability of survival to discharge with good neurologic status following CPR for in-hospital arrest (CPC 1):Low 9.2% <a href='_media/prediction2_english.jpg' target='_blank'><img src='_media/prediction2_english.jpg' class='graph' alt='Probability of survival to discharge with good neurologic status following CPR for in-hospital arrest (CPC 1):Low 9.2%'></a>";
 +   }
 +   else if (score >= 23) {
 +     document.getElementById('messageScore').innerHTML="<b> GO-FAR score: "+ score;
 +     document.getElementById('messagePronostic').innerHTML="<b> Probability of survival to discharge with good neurologic status following CPR for in-hospital arrest (CPC 1): Very low &lt;1% <a href='_media/prediction1_english.jpg' target='_blank'><img src='_media/prediction1_english.jpg' class='graph' alt='Trobability of survival to discharge with good neurologic status following CPR for in-hospital arrest (CPC 1): Very low &lt;1%'></a>";
 +   } 
 +}
 +</script>
 +<style type="text/css">
 +.graph {
 +  float: right; 
 +  position: relative; 
 +  height: 188px;
 +  margin-bottom: -188px;
 +  top: -259px;
 +  width: 490px; 
 +}
 +
 +@media screen and (max-width: 1020px) {
 +  .graph {
 +    float: none;
 +    position: initial; 
 + display: block;
 + margin-bottom: 0;
 + width: auto; 
 + height: auto;
 +  }
 +}
 +</style>
 +<br />
 +Patient's age:
 +<select id="age" onClick="checkCalcul(this)">
 +<OPTION>-- Select age group ---</OPTION>
 +<option value="choix1"> less than 70  </option>
 +<option value="choix2"> from 70 to 74 </option>
 +<option value="choix3"> from 75 to 79 </option>
 +<option value="choix4"> from 80 to 84 </option>
 +<option value="choix5"> more than 85 ans  </option>
 +</select><br>
 +
 +<br><b>PROTECTIVE FACTOR</b><br>
 +<label><input type="checkbox" name="options[]" value="1" onClick="checkCalcul(this)" /> 
 +Intact neurologically or low neurological deficit at admission</label><br>
 +
 +<br><b>RISK FACTORS</b><br>
 +<label><input type="checkbox" name="options[]" value="2" onClick="checkCalcul(this)" /> Major trauma</label><br>
 +<label><input type="checkbox" name="options[]" value="3" onClick="checkCalcul(this)" /> Acute stroke</label><br>
 +<label><input type="checkbox" name="options[]" value="4" onClick="checkCalcul(this)" /> Metastatic or hematologic cancer </label><br>
 +<label><input type="checkbox" name="options[]" value="5" onClick="checkCalcul(this)" /> Septicemia </label><br>
 +<label><input type="checkbox" name="options[]" value="6" onClick="checkCalcul(this)" /> Medical noncardiac diagnosis </label><br>
 +<label><input type="checkbox" name="options[]" value="7" onClick="checkCalcul(this)" /> Hepatic insufficiency</label><br>
 +<label><input type="checkbox" name="options[]" value="8" onClick="checkCalcul(this)" /> Admission from a skilled nursing facility </label><br>
 +<label><input type="checkbox" name="options[]" value="9" onClick="checkCalcul(this)" /> Hypotension or hypoperfusion</label><br>
 +<label><input type="checkbox" name="options[]" value="10" onClick="checkCalcul(this)" /> Renal insufficiency or dialysis </label><br>
 +<label><input type="checkbox" name="options[]" value="11" onClick="checkCalcul(this)" /> Respiratory insufficiency </label><br>
 +<label><input type="checkbox" name="options[]" value="12" onClick="checkCalcul(this)" /> Pneumonia</label><br>
 +
 +<div id="messageScore"></div>
 +<div id="messagePronostic"><a href='_media/prediction0_english.jpg' target='_blank'><img src='_media/prediction0_english.jpg' style="top: -221px!important;" class='graph'></a></div>
 +<p style="float: right; position: absolute; right: 35px;"> Image: Icon Array</p>
 +<form action="" method="post">
 +<p><input type="submit" name="submit" value="Clear all"></p>
 +</form>
 +</html>
 +
 +^ Definitions of Predictor Variables<sup>a</sup>                                                                 ^^
 +^ Variable                                ^ Definition                                                   ^  
 +| **Acute stroke** | Documented diagnosis of an intracranial or intra-ventricular hemorrhage or thrombosis during the current admission |
 +| **Hepatic insufficiency** | Evidence of hepatic insufficiency within 24 h of the event, defined by total bilirubin >2 mg/dL (to convert to micromoles per liter, multiply by 17.104) and AST > 2 times the upper limit of normal or cirrhosis| 
 +| **Hypotension or hypoperfusion** | Any evidence of hypotension within 4 h of the event, defined as any of the following: SBP <90 or MAP <60 mm Hg; vasopressor or inotropic requirement after volume expansion (except for dopamine <= 3 microgram/kg/min); or intra-aortic balloon pump |
 +| **Major trauma** | Evidence of multisystem injury or single-system injury associated with shock or altered mental status during the current hospitalization |
 +| **Metastatic or hematologic cancer** | Any solid tissue malignancy with evidence of metastasis or any blood-borne malignancy |
 +| **Pneumonia** | Documented diagnosis of active pneumonia, in which antibiotic therapy has not yet been started or is still ongoing |
 +| **Renal insufficiency or dialysis** | Requiring ongoing dialysis or extracorporeal filtration therapies, or serum creatinine >2 mg/dL (to convert to micromoles per liter, multiply by 88.4) within 24 h of the event |
 +| **Respiratory insufficiency** | Evidence of acute or chronic respiratory insufficiency within 4 h of the event, defined as any of the following: PaO2/FiO2 ratio <300, PaO2 <60 mm Hg, or SaO2 <90% (without preexisting cyanotic heartdisease); PaCO2, ETCO2, or TcCO2 >50 mm Hg; spontaneous respiratory rate >40/min or <5/min; requirement for noninvasive ventilation (eg, bag-valve mask, mask CPAP or BiPAP, nasal CPAP or BiPAP), or negative pressure ventilation; or requirement for ventilation via invasive airway |
 +| **Septicemia** | Documented bloodstream infection in which anti-biotic therapy has not yet been started or is still ongoing |
 +|
 + **Abreviations: 
 +AST: aspartate aminotransferase; 
 +BiPAP: bilevel positive airway pressure ; 
 +CPAP: continuous positive airway pressure ; 
 +ETco2<sub>2</sub>: end-tidal carbon dioxide pressure ; Fio2<sub>2</sub>: fraction of inspired oxygen;
 +MAP<sub>2</sub>: mean arterial pressure;
 +SaO2<sub>2</sub>: arterial oxygen saturation; 
 +SBP: systolic blood pressure; 
 +TcCO2<sub>2</sub>: transcutaneous carbon dioxide pressure .** 
 +
 +**<sup>a</sup>Adapted from the American Heart Association.**  
/home/wikidecision/public_html/data/attic/go_far_calculator.1488157616.txt.gz · Dernière modification : 2017/02/27 02:06 (modification externe)
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