Sequential Organ Failure Assessment to track organ dysfunction in the ICU.
Organ Systems
Organ Failure Assessment
Select the patient's status for each organ system to calculate the total SOFA score.
Overview
The Sequential Organ Failure Assessment (SOFA) score is used to track a patient's status during their stay in an intensive care unit (ICU) to determine the extent of a person's organ function or rate of failure. It is particularly valuable in the context of sepsis.
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Pro Tips
If a specific value is missing, clinicians sometimes use a previous value or assume normal for initial screening.
The PaO2/FiO2 ratio requires an arterial blood gas (ABG) measurement.
For the renal score, use the higher (worse) value between creatinine and urine output.
Monitor the score daily; the trend (getting better or worse) is often as important as the absolute number.
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Fun Facts
"SOFA was originally known as the Sepsis-related Organ Failure Assessment score."
"An increase in SOFA score of 2 or more points is a key part of the 'Sepsis-3' definition of sepsis."
"The score helps predict mortality - the higher the score, the higher the risk."
"It assesses six different organ systems: respiratory, cardiovascular, hepatic, coagulation, neurological, and renal."
