Cardiology Critical Care

GO-FAR Score for Post-CPR Survival

Predicts neurologically intact survival to hospital discharge after in-hospital CPR. Assists goals-of-care discussions.

Age*

Neurologically intact or with minimal deficit at admission*

Major trauma at current admission*

Acute stroke at current admission*

Metastatic or haematological cancer*

Septicaemia at current admission*

Hepatic insufficiency (bilirubin > 34 µmol/L with AST > 2× ULN, or cirrhosis)*

Admitted from a skilled nursing facility (nursing home)*

Hypotension or hypoperfusion within 4 hours before the arrest*

Renal insufficiency or dialysis*

Respiratory insufficiency (not due to the arrest)*

Pneumonia at current admission*

Medical non-cardiac diagnosis on admission*

Score interpretation

Above Average (> 15 %) -15–-6

GO-FAR ≤ −6: above-average likelihood (> 15 %) of survival to discharge with good neurological status.

→ Resuscitation is likely to be of benefit; record the patient's wishes.

Average (3–15 %) -5–13

GO-FAR −5 to 13: average likelihood (3–15 %) of neurologically intact survival after in-hospital arrest.

→ Discuss resuscitation preferences with the patient and family.

Low (1–3 %) 14–23

GO-FAR 14–23: low likelihood (1–3 %) of neurologically intact survival.

→ Honest goals-of-care discussion; consider the likely outcome of CPR.

Very Low (< 1 %) 24–76

GO-FAR ≥ 24: very low likelihood (< 1 %) of neurologically intact survival.

→ Goals-of-care discussion; CPR is very unlikely to achieve a good outcome.

Interpretation bands for the GO-FAR. Apply clinical judgement and local guidance.

Ebell MH et al. The Good Outcome Following Attempted Resuscitation (GO-FAR) Score to Predict Neurologically Intact Survival After In-Hospital Cardiopulmonary Resuscitation. JAMA Intern Med. 2013;173(20):1872-1878.

Curated clinical cross-links plus same-class fallbacks.

Calculators

Drugs

Pathways

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.