Sofa Score Icu
The sofa score is much simpler compared to general icu prediction models such as the apache iv model which requires a lot of data and lays a heavy burden on precise data acquisition.
Sofa score icu. The sofa score has been applied to initial critical care triage in some published triage protocols 4 7 even though the sofa score has only been validated as a severity of illness score for patients in the icu. The sequential organ failure assessment sofa score is a mortality prediction score that is based on the degree of dysfunction of six organ systems. Each organ system is assigned a point value from 0 normal to 4 high degree of dysfunction failure the worst physiological variables were collected serially every 24 hours of a patient s icu admission. Sofa score interpretation each of the answer choices in the 6 variables has assigned points from 0 normal function to 4 high degree of dysfunction.
As individual scores for each organ to determine progression of organ dysfunction. Sofa score the sofa score is based on six different independent scores including respiratory cardiovascular hepatic renal coagulation and neurological systems and is used to check the patient s status or the extent of organ failure and dysfunction in intensive care units icus. Sofa is quite accurate when used in sepsis cases and when applied to groups of patients. Categorized based on their risk of death.
1 2 the msofa score performed similarly to the sofa score in our study suggesting that the msofa may also be useful for initial triage for admission to the icu from the emergency department. If mortality prediction could be achieved with the sofa score as accurately as with the apache iv model use of the sofa score would be preferable for that purpose. One benefit of sofa is that it requires only six common points of data. The score is based on six different scores one each for the respiratory cardiovascular hepatic coagulation renal and neurological systems.
This means that the overall score is between 0 and 24. The sofa score is made of 6 variables each representing an organ system. The sequential organ failure assessment score sofa score previously known as the sepsis related organ failure assessment score is used to track a person s status during the stay in an intensive care unit icu to determine the extent of a person s organ function or rate of failure. For example if 100 severely ill septic patients requiring intensive care unit icu treatment have a sofa score greater than 11 over 90 of them will die vincent et al 1996.
The score is calculated on admission and every 24 hours until discharge using the worst parameters measured during the prior 24 hours. The following table presents by comparison the score categories and the associated mortality percentages.