The Go-FAR score

Before we talk about the paper it is worth discussing another post-ROSC prognostication score; the Go-FAR score.16 The Go-Far Score was designed to predict survival following IHCA using details obtained during admission. The main goal of the score was to aid conversation around DNAR in particular answering the question “If I experience cardiopulmonary arrest and receive CPR, how likely am I to survive to discharge?”

The model uses a simple point score based on 13 pre-arrest variables and classifies patients as having a very low (<1%), low (1%-3%), average (>3%-15%), or higher than average (>15%) likelihood of survival after in-hospital cardiopulmonary resuscitation for IHCA with good neurologic status. The C statistic was 0.78 when applied to the validation set. Overall, the score can identify more than one-quarter of patients as having a low or very low likelihood of survival to discharge, neurologically intact or with minimal deficits after IHCA (good outcome in 1.4%).16