~~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.
Patient's age:

PROTECTIVE FACTOR
Intact neurologically or low neurological deficit at admission

RISK FACTORS
Major trauma
Acute stroke
Metastatic or hematologic cancer
Septicemia
Medical noncardiac diagnosis
Hepatic insufficiency
Admission from a skilled nursing facility
Hypotension or hypoperfusion
Renal insufficiency or dialysis
Respiratory insufficiency
Pneumonia

Image: Icon Array

^ Definitions of Predictor Variables^a ^^ ^ 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.**