Paramedic PapersHome Cardiac arrest PIHCA vs GO-FAR 2 for IHCA prediction
Cardiac arrest
PIHCA vs GO-FAR 2 for IHCA prediction
Validation and comparison of two prearrest prediction scores for in-hospital cardiac arrest survival
Resuscitation Plus · Added 30 September 2026
External validation of the PIHCA and GO-FAR 2 pre-arrest scores across 501 Swedish in-hospital cardiac arrests (28% survived with favourable neurological outcome) found comparable discrimination for favourable outcome (AUROC 0.73 vs 0.70, difference not significant) and adequate calibration for both scores.
- Study type
- Cohort
- Design
- External validation using Swedish Registry of Cardiopulmonary Resuscitation data across three hospitals
- Participants
- 501 adult in-hospital cardiac arrests
- Main finding
- 28% survived with favourable neurological outcome; AUROC 0.73 (95% CI 0.67–0.78) for PIHCA vs 0.70 (95% CI 0.65–0.75) for GO-FAR 2, difference not significant; calibration adequate for both
- Caveat
- In-hospital, Swedish single-country setting with some miscalibration at certain score ranges; not prehospital-relevant
- Bottom line
- Context only
Why it matters in Australia (Medium relevance). in-hospital decision-support tool rather than prehospital practice, but useful grounding for DNACPR discussions and post-ROSC handover
Learning goal
Weigh the benefits and limitations of pre-arrest prediction scores when understanding survival after in-hospital cardiac arrest.
More
- Topic: Cardiac arrest
- Daily scan: 30 September 2026
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