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

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 70 years. 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