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Good Outcome Following Attempted Resuscitation (GO-FAR) Score to Predict Neurologically Intact Survival After In-Hospital Cardiopulmonary Resuscitation

Original paper: Ebell et al

DISCLAIMER: All calculations must be confirmed before use. The author make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgment. Neither Jonathan Rubins nor any other party involved in the preparation or publication of this site shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.

Check each condition present on admission to the hospital to calculate total score and probability of survival.

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Definitions of Predictor Variablesa
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 ; ETco22: end-tidal carbon dioxide pressure ; Fio22: fraction of inspired oxygen; MAP2: mean arterial pressure; SaO22: arterial oxygen saturation; SBP: systolic blood pressure; TcCO22: transcutaneous carbon dioxide pressure .

aAdapted from the American Heart Association.

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