MDCalc

GO-FAR (Good Outcome Following Attempted Resuscitation) Score

Predicts survival to discharge with good outcome after in-hospital cardiac arrest.

Use pre-arrest information to calculate.

Age, years
Neurologically intact or with minimal deficits at admission
Major trauma
Injury associated with shock or altered mental status during current admission
Acute stroke
Ischemic or hemorrhagic stroke during current admission
Metastatic or hematologic cancer
Septicemia
Documented bloodstream infection with antibiotics not yet started or still ongoing
Medical noncardiac diagnosis on admission
Hepatic insufficiency
Total bilirubin >2 mg/dL or 34 µmol/L and AST >2x upper limit of normal, or cirrhosis
Admit from skilled nursing facility
Hypotension or hypoperfusion within 4 hrs prior to arrest
SBP <90, MAP <60, pressors or inotropes other than dopamine ≤3 µmol/kg/min after volume expansion, or intra-aortic balloon pump
Renal insufficiency or dialysis
Respiratory insufficiency
Any of the following: P/F ratio <300, PaO₂ <60, SaO₂ <90%; PaCO₂, ETCO₂, or transcutaneous CO₂ >50, spontaneous RR >40 or <5, or noninvasive or invasive ventilation
Pneumonia
Documented active pneumonia with antibiotics not yet started or still ongoing

Result:

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Advice

Consider patient preferences and general medical prognosis in discussions of code status and aggressiveness of interventions.

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