The SOFA (Sequential Organ Failure Assessment) score is used to evaluate the degree of organ dysfunction in critically ill patients. It assesses six organ systems (respiratory, coagulation, liver, cardiovascular, central nervous system, and renal) each day and assigns a score of 0-4 with higher scores indicating more severe organ dysfunction. The interpretation section shows that mortality increases from below 10% for a total SOFA score of 0-6 up to over 90% for a score of 15 or higher, demonstrating it can help predict patient outcomes.
The SOFA (Sequential Organ Failure Assessment) score is used to evaluate the degree of organ dysfunction in critically ill patients. It assesses six organ systems (respiratory, coagulation, liver, cardiovascular, central nervous system, and renal) each day and assigns a score of 0-4 with higher scores indicating more severe organ dysfunction. The interpretation section shows that mortality increases from below 10% for a total SOFA score of 0-6 up to over 90% for a score of 15 or higher, demonstrating it can help predict patient outcomes.
The SOFA (Sequential Organ Failure Assessment) score is used to evaluate the degree of organ dysfunction in critically ill patients. It assesses six organ systems (respiratory, coagulation, liver, cardiovascular, central nervous system, and renal) each day and assigns a score of 0-4 with higher scores indicating more severe organ dysfunction. The interpretation section shows that mortality increases from below 10% for a total SOFA score of 0-6 up to over 90% for a score of 15 or higher, demonstrating it can help predict patient outcomes.
Sistema
0
1
2
3
4
Orgánico
Respiratorio
<
ó
=
200
<
ó
=
100
PaO2/FiO2
>400
<
ó
=
400
<
ó
=300
Con
Con
Soporte
Soporte
Coagulación
Plaquetas
>150
<
ó
=
150
<
ó
=
100
<
ó
=
50
<
ó
=
20
(x103/mm3)
Hígado
Bilirrubina
<1,2
1,2-‐1,9
2,0-‐5,9
6,0-‐11,9
>
ó
=
12
(mg/dl)
Cardiovascular
Dopa
<
ó
=5
Dopa>
5
Dopa
>15
Hipotensión
No
PAM<70
o
Epi
<
ó=
0,1
Epi
>0,1
Dobutamina
NAD<
ó=0,1
NAD
>0,1
Sist.
Nervioso
Escala
15
13-‐14
10-‐12
6-‐9
<
6
Glasgow
Renal
Creatinina
<
1,2
1,2-‐1,9
2,0-‐3,4
3,5-‐4,9
>
5
(mg/dL)
Diuresis
-‐
-‐
-‐
<
0,5
L/dia
<0,2
L/día
Interpretación
Máxima
Mortalidad
%
Puntuación
SOFA
0
a
6
<10%
7
a
9
15-‐20%
10
a
12
40-‐50%
13
a
14
50-‐60%
15
>80%
15
a
24
>90%
1. Vincent
JL,
de
Mendonça
A,
Cantraine
F,
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.
2. Ferreira
FL,
Bota
DP,
Bross
A,
et
al.
Serial
evaluation
of
the
SOFA
score
to
predict
outcome
in
critically
ill
patients.
JAMA.
2001;286(14):1754-‐8.