Good Outcome Following Attempted Resuscitation (GO-FAR) Check each condition present on admission to the hospital to calculate total score and probability of survival.
Moderate or Severe cognitive/neurologic disability Moderate = able to live independently with disabilities which may include hemiplegia, seizures, ataxia, dysphagia, or permanent memory or mental changes
Admission from a skilled nursing facility
Metastatic or hematologic cancer Any solid tissue malignancy with evidence of metastasis or any blood-borne malignancy
Major trauma Evidence of multisystem injury or single-system injury associated with shock or altered mental status during the current hospitalization
Pneumonia Documented diagnosis of active pneumonia, in which antibiotic therapy has not yet been started or is still ongoing
Septicemia Documented bloodstream infection in which anti-biotic therapy has not yet been started or is still ongoing
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
Acute stroke Documented diagnosis of an intracranial or intra-ventricular hemorrhage or thrombosis during the current admission
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
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
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
Medical noncardiac diagnosis
GO-FAR Score: -15
Probability of survival to discharge with good neurologic status following CPR for in-hospital arrest: 27%
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Content derived from Ebell MA et al, Development and Validation of the Good Outcome Following Attempted Resuscitation (GO-FAR) Score to Predict Neurologically Intact Survival After In-Hospital Cardiopulmonary Resuscitation JAMA Internal Medicine November 11, 2013 Volume 173, Number 20
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