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go_far_calculator [2017/02/27 01:06] – supprimée ariane | go_far_calculator [2023/12/07 16:13] – labadmin |
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| ~~NOCACHE~~ |
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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 http://archinte.jamanetwork.com/article.aspx?articleid=1735894 |
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| **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.** |
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| Check each condition present on admission to the hospital to calculate total score and probability of survival. |
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| English GO-FAR Calculator: [[http://fpdp.archambaultlab.ca/gofar/gofar_en.html]] |
| <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 <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 <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> |
| |
| 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.** |