SOFA score
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The Sequential Organ Failure Assessment score, or just SOFA score, is used to track a patient's status during the stay in an intensive care unit (ICU). It is one of several ICU scoring systems.
The SOFA score is a scoring system to determine the extent of a person's organ function or rate of failure.[1][2][3][4][5] The score is based on six different scores, one each for the respiratory, cardiovascular, hepatic, coagulation, renal and neurological systems.
The score tables below only describe points-giving conditions. In cases where the physiological parameters do not match any row, zero points are given. In cases where the physiological parameters match more than one row, the row with most points is picked.
[edit] Respiratory System
| PaO2/FiO2 (mmHg) |
SOFA score |
| < 400 |
1 |
| < 300 |
2 |
| < 200 and mechanically ventilated |
3 |
| < 100 and mechanically ventilated |
4 |
[edit] Nervous System
[edit] Cardio Vascular System
| Mean Arterial Pressure OR administration of vasopressors required |
SOFA score |
| MAP < 70 mm/Hg |
1 |
| dop <= 5 or dob (any dose) |
2 |
| dop > 5 OR epi <= 0.1 OR nor <= 0.1 |
3 |
| dop > 15 OR epi > 0.1 OR nor > 0.1 |
4 |
(vasopressor drug doses are in mcg/kg/min)
| Bilirubin (mg/dl) [μmol/L] |
SOFA score |
| 1.2 – 1.9 [>20.5 - 32.5] |
1 |
| 2.0 – 5.9 [34.2 - 100.9] |
2 |
| 6.0 – 11.9 [102.6 - 203] |
3 |
| > 12.0 [>205] |
4 |
[edit] Coagulation
| Platelets×103/mcl |
SOFA score |
| < 150 |
1 |
| < 100 |
2 |
| < 50 |
3 |
| < 20 |
4 |
[edit] Renal System
| Creatinine (mg/dl) [μmol/L] (or urine output) |
SOFA score |
| 1.2 – 1.9 [92 - 145] |
1 |
| 2.0 – 3.4 [152 - 259] |
2 |
| 3.5 – 4.9 [267 - 374] (or < 500 ml/d) |
3 |
| > 5.0 [>382] (or < 200 ml/d) |
4 |
[edit] References
- ^ Vincent JL, Moreno R, Takala J, Willatts S, De Mendonça A, Bruining H, Reinhart CK, Suter PM, Thijs LG. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med 1996 Jul;22(7):707-10. PMID 8844239.
- ^ Vincent JL, de Mendonça A, Cantraine F, Moreno R, Takala J, Suter PM, Sprung CL, Colardyn F, Blecher S. Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: results of a multicenter, prospective study. Working group on "sepsis-related problems" of the European Society of Intensive Care Medicine. Crit Care Med 1998 Nov;26(11):1793-800. PMID 9824069.
- ^ Moreno R, Vincent JL, Matos R, Mendonça A, Cantraine F, Thijs L, Takala J, Sprung C, Antonelli M, Bruining H, Willatts S. The use of maximum SOFA score to quantify organ dysfunction/failure in intensive care. Results of a prospective, multicentre study. Working Group on Sepsis related Problems of the ESICM. Intensive Care Med 1999 Jul;25(7):686-96. PMID 10470572.
- ^ de Mendonça A, Vincent JL, Suter PM, Moreno R, Dearden NM, Antonelli M, Takala J, Sprung C, Cantraine F. Acute renal failure in the ICU: risk factors and outcome evaluated by the SOFA score. Intensive Care Med 2000 Jul;26(7):915-21. PMID 10990106.
- ^ Ferreira FL, Bota DP, Bross A, Mélot C, Vincent JL. Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA 2001 Oct 10;286(14):1754-8. PMID 11594901.
[edit] External links
