M GO-FAR SCORE X POST RESUS OUTCOME SCORE

GO-FAR (Good Outcome Following Attempted Resuscitation) Score

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

INSTRUCTIONS

Use pre-arrest information to calculate.

Pearls/Pitfalls

Why Use

Age, years

<70

0

70-74

+2

75-79

+5

80-84

+6

≥85

+11

Neurologically intact or with minimal deficits at admission

No

0

Yes

-15

Major trauma

Injury associated with shock or altered mental status during current admission

No

0

Yes

+10

Acute stroke

Ischemic or hemorrhagic stroke during current admission

No

0

Yes

+8

Metastatic or hematologic cancer

No

0

Yes

+7

Septicemia

Documented bloodstream infection with antibiotics not yet started or still ongoing

No

0

Yes

+7

Medical noncardiac diagnosis on admission

No

0

Yes

+7

Hepatic insufficiency

Total bilirubin >2 mg/dL or 34 µmol/L and AST >2x upper limit of normal, or cirrhosis

No

0

Yes

+6

Admit from skilled nursing facility

No

0

Yes

+6

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

No

0

Yes

+5

Renal insufficiency or dialysis

No

0

Yes

+4

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

No

0

Yes

+4

Pneumonia

Documented active pneumonia with antibiotics not yet started or still ongoing

No

0

Yes

+1

Result:

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Next Steps

Evidence

Creator Insights

ADVICE

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

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About the Creator

Dr. Mark H. Ebell

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