Sequential Organ Failure Assessment Score: Difference between revisions

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== Introduction ==
== Introduction ==
The sequential organ failure assessment score (SOFA score), formerly termed the sepsis-related organ failure assessment score<ref name=":0">Vincent JL, Moreno R, Takala J, Willatts S, De Mendonça A, Bruining H, et al. 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;22(7):707-10. doi: 10.1007/BF01709751.</ref>, is used to monitor a patient's condition while they are in an intensive care unit (ICU) in order to gauge how well their organs are functioning or how quickly they are failing<ref>Vincent JL, de Mendonça A, Cantraine F, Moreno R, Takala J, Suter PM, et al. [https://pubmed.ncbi.nlm.nih.gov/9824069/ 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;26(11):1793-800. doi: 10.1097/00003246-199811000-00016.</ref><ref name=":1">Soo A, Zuege DJ, Fick GH, Niven DJ, Berthiaume LR, Stelfox HT, et al. [https://ccforum.biomedcentral.com/articles/10.1186/s13054-019-2459-9 Describing organ dysfunction in the intensive care unit: a cohort study of 20,000 patients]. Crit Care. 2019;23(1):186. doi: 10.1186/s13054-019-2459-9.</ref>. Although many different scoring systems have been created, the Sequential Organ Failure Assessment (SOFA) score is now the most used in real-world applications<ref name=":0" /> <ref name=":1" /><ref>de Grooth HJ, Geenen IL, Girbes AR, Vincent J-L, Parienti J-J, Oudemans-van Straaten HM. [https://ccforum.biomedcentral.com/articles/10.1186/s13054-017-1609-1#citeas SOFA and mortality endpoints in randomized controlled trials: a systematic review and meta-regression analysis.] ''Crit Care'' 21, 38 (2017). <nowiki>https://doi.org/10.1186/s13054-017-1609-1</nowiki></ref>. In contrast to other scores (e.g. Multiple Organ Dysfunction Score and Logistic Organ Dysfunction System ), which established models using statistical techniques, it was developed by consensus<ref name=":1" />.


== Sub Heading 2 ==
== Objective ==
It is employed to keep an eye on a patient's condition while they are in an intensive care unit (ICU) to determine how well or rapidly their organs are failing. The SOFA score  does not distinguish between the impacts of acute organ dysfunction associated to critical illness and persistent organ failure occurring owing to underlying disease.


== Sub Heading 3 ==
== Intended Population ==
 
== Method of Use ==
Six distinct scores, one for each of the respiratory, cardiovascular, hepatic, coagulation, renal, and neurological systems (central  nervous system)make up the final result. The Glasgow Coma Scale (GCS) served as the basis for calculating CNS dysfunction. Each organ system received a score ranging from 0 (normal) to 4 (most abnormal), with a minimum SOFA score of 0 and a maximum SOFA score of 24<ref name=":0" />.
 
The fast SOFA score (qSOFA) aids medical professionals in determining the likelihood of morbidity and mortality as a result of sepsis
 
== Evidence ==


== Resources  ==
== Resources  ==

Revision as of 18:23, 23 December 2022

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Introduction[edit | edit source]

The sequential organ failure assessment score (SOFA score), formerly termed the sepsis-related organ failure assessment score[1], is used to monitor a patient's condition while they are in an intensive care unit (ICU) in order to gauge how well their organs are functioning or how quickly they are failing[2][3]. Although many different scoring systems have been created, the Sequential Organ Failure Assessment (SOFA) score is now the most used in real-world applications[1] [3][4]. In contrast to other scores (e.g. Multiple Organ Dysfunction Score and Logistic Organ Dysfunction System ), which established models using statistical techniques, it was developed by consensus[3].

Objective[edit | edit source]

It is employed to keep an eye on a patient's condition while they are in an intensive care unit (ICU) to determine how well or rapidly their organs are failing. The SOFA score does not distinguish between the impacts of acute organ dysfunction associated to critical illness and persistent organ failure occurring owing to underlying disease.

Intended Population[edit | edit source]

Method of Use[edit | edit source]

Six distinct scores, one for each of the respiratory, cardiovascular, hepatic, coagulation, renal, and neurological systems (central nervous system)make up the final result. The Glasgow Coma Scale (GCS) served as the basis for calculating CNS dysfunction. Each organ system received a score ranging from 0 (normal) to 4 (most abnormal), with a minimum SOFA score of 0 and a maximum SOFA score of 24[1].

The fast SOFA score (qSOFA) aids medical professionals in determining the likelihood of morbidity and mortality as a result of sepsis

Evidence[edit | edit source]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]

  1. 1.0 1.1 1.2 Vincent JL, Moreno R, Takala J, Willatts S, De Mendonça A, Bruining H, et al. 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;22(7):707-10. doi: 10.1007/BF01709751.
  2. Vincent JL, de Mendonça A, Cantraine F, Moreno R, Takala J, Suter PM, et al. 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;26(11):1793-800. doi: 10.1097/00003246-199811000-00016.
  3. 3.0 3.1 3.2 Soo A, Zuege DJ, Fick GH, Niven DJ, Berthiaume LR, Stelfox HT, et al. Describing organ dysfunction in the intensive care unit: a cohort study of 20,000 patients. Crit Care. 2019;23(1):186. doi: 10.1186/s13054-019-2459-9.
  4. de Grooth HJ, Geenen IL, Girbes AR, Vincent J-L, Parienti J-J, Oudemans-van Straaten HM. SOFA and mortality endpoints in randomized controlled trials: a systematic review and meta-regression analysis. Crit Care 21, 38 (2017). https://doi.org/10.1186/s13054-017-1609-1

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