Format

Send to

Choose Destination
Int J Cardiol. 2016 Oct 15;221:294-7. doi: 10.1016/j.ijcard.2016.06.146. Epub 2016 Jul 1.

Validation of the good outcome following attempted resuscitation score on in-hospital cardiac arrest in southern Sweden.

Author information

1
Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden. Electronic address: Marcus.ohlsson@med.lu.se.
2
Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden.
3
Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, USA.
4
Department of Cardiology, Lund University, Malmö, Sweden.
5
Department of Clinical Sciences, Lund University, Malmö, Sweden.

Abstract

BACKGROUND:

There is a great need for a simple and clinically useful instrument to help physicians estimate the probability of survival to discharge with a good neurological outcome (cerebral performance category, CPC=1) in cases of in-hospital cardiac arrest (IHCA). Our aim was to validate the "Good Outcome Following Attempted Resuscitation" (GO-FAR) score in a different country with different demographics than previously investigated.

METHODS:

A retrospective observational study including all cases of IHCA who were part of a cardiac arrest registry at Skåne University Hospital in Sweden 2007-2010.

RESULTS:

Two-hundred-eighty-seven patients suffered IHCA during the period. A majority were male and mean age was 70years. Overall survival to discharge independent of neurological function was 20.2%; 78% of the survivors had CPC=1 and survival to discharge with CPC=1 was 15.7%. The area under the receiver operating characteristics curve for the GO-FAR score was 0.85 (CI=0.78-0.91, p<0.001), consistent with very good discrimination. Patients in the group with low or very low probability of survival had a likelihood of 2.8% (95% CI 0.0-6.7), whereas the groups with average and above average probabilities had likelihoods of 8.2% (3.7-13) and 46% (34-58), respectively, for good neurological outcome. This compares with likelihoods of 1.6%, 9.2% and 27.8% in the original study.

CONCLUSION:

The GO-FAR score accurately predicted the probability of survival to discharge with CPC=1, even when applied to a different population in another country.

KEYWORDS:

Cardiac arrest; Cardiopulmonary resuscitation; Cerebral performance category; IHCA; Survival score

PMID:
27404694
DOI:
10.1016/j.ijcard.2016.06.146
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center