Validating the GO-FAR score: predicting in- hospital cardiac arrest outcomes in the Middle East
Dublin Core
Title
Validating the GO-FAR score: predicting in- hospital cardiac arrest outcomes in the Middle East
Subject
External validations of the Good Outcome Following Attempted Resuscitation (GO-FAR)
Description
Abstract
Introduction and aim External validations of the Good Outcome Following Attempted Resuscitation (GO-FAR) score
have been in populations where Do Not Attempt Resuscitation (DNAR) is practised. We aim to externally validate the
GO-FAR score in a population without a DNAR order.
Methods We studied patients≥18 years old who had an In-hospital cardiac arrest (IHCA) with known outcomes at Al
Ain Hospital from January 2017 to December 2019, excluding those who died in the emergency department. Studied
variables included demography, location, response time, code duration, initial rhythm, primary diagnosis, admission
vital signs, GO FAR score variables, discharge status, and functional outcomes as determined by the cerebral
performance category score ranging from 1 (good cerebral performance) to 5 (brain death).
Results 366 patients were studied; 66.7% were males. The median (IQR) age was 70 (55–81) years. Cardiac and
respiratory causes were the primary diagnoses in 89 (24.6%) and 67 (18.5%), respectively. IHCA occurred in critical
areas such as the intensive care unit, high dependency unit and coronary care unit in 206 (80.8%) patients. The
majority, 308 (91.8%), had a non-shockable rhythm, and a return of spontaneous circulation was achieved in
159 (43.4%) of the patients. Thirty-one (8.5%) patients survived to hospital discharge, and 20 (5.5%) patients had
cerebral performance category scores of 1 and 2. The area under the curve of the ROC for survival to discharge with
good functional outcome was 0.74 (95% CI 0.59–0.88). The best cut-off point for predicting survival with a good
neurological outcome was a GO-FAR score of <4, having a sensitivity of 0.81, a specificity of 0.7, a positive likelihood
ratio of 2.7 and a negative likelihood ratio of 0.27.
Conclusions A GO-FAR score of less than 4 predicts survival with a good neurological outcome in a healthcare
system with an all-inclusive patient population with no DNAR practice.
Introduction and aim External validations of the Good Outcome Following Attempted Resuscitation (GO-FAR) score
have been in populations where Do Not Attempt Resuscitation (DNAR) is practised. We aim to externally validate the
GO-FAR score in a population without a DNAR order.
Methods We studied patients≥18 years old who had an In-hospital cardiac arrest (IHCA) with known outcomes at Al
Ain Hospital from January 2017 to December 2019, excluding those who died in the emergency department. Studied
variables included demography, location, response time, code duration, initial rhythm, primary diagnosis, admission
vital signs, GO FAR score variables, discharge status, and functional outcomes as determined by the cerebral
performance category score ranging from 1 (good cerebral performance) to 5 (brain death).
Results 366 patients were studied; 66.7% were males. The median (IQR) age was 70 (55–81) years. Cardiac and
respiratory causes were the primary diagnoses in 89 (24.6%) and 67 (18.5%), respectively. IHCA occurred in critical
areas such as the intensive care unit, high dependency unit and coronary care unit in 206 (80.8%) patients. The
majority, 308 (91.8%), had a non-shockable rhythm, and a return of spontaneous circulation was achieved in
159 (43.4%) of the patients. Thirty-one (8.5%) patients survived to hospital discharge, and 20 (5.5%) patients had
cerebral performance category scores of 1 and 2. The area under the curve of the ROC for survival to discharge with
good functional outcome was 0.74 (95% CI 0.59–0.88). The best cut-off point for predicting survival with a good
neurological outcome was a GO-FAR score of <4, having a sensitivity of 0.81, a specificity of 0.7, a positive likelihood
ratio of 2.7 and a negative likelihood ratio of 0.27.
Conclusions A GO-FAR score of less than 4 predicts survival with a good neurological outcome in a healthcare
system with an all-inclusive patient population with no DNAR practice.
Creator
David O. Alao1,2*, Yaman Hukan2
, Nada Mohammed2
, Kinza Moin2
, Resshme K. Sudha2
, Arif Alper Cevik1,2 and
Fikri M. Abu-Zidan3
, Nada Mohammed2
, Kinza Moin2
, Resshme K. Sudha2
, Arif Alper Cevik1,2 and
Fikri M. Abu-Zidan3
Source
https://doi.org/10.1186/s12245-024-00749-4
Date
2024
Contributor
Peri Irawan
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
David O. Alao1,2*, Yaman Hukan2
, Nada Mohammed2
, Kinza Moin2
, Resshme K. Sudha2
, Arif Alper Cevik1,2 and
Fikri M. Abu-Zidan3, “Validating the GO-FAR score: predicting in- hospital cardiac arrest outcomes in the Middle East,” Repository Horizon University Indonesia, accessed April 25, 2026, https://repository.horizon.ac.id/items/show/12517.