Sofa Score Interpretation

The sequential organ failure assessment sofa score is a scoring system that assesses the performance of several organ systems in the body neurologic blood liver kidney and blood pressure hemodynamics and assigns a score based on the data obtained in each category. As individual scores for each organ to determine progression of organ dysfunction. Each of the answer choices in the 6 variables has assigned points from 0 normal function to 4 high degree of dysfunction.

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The score is calculated on admission and every 24 hours until discharge using the worst parameters measured during the prior 24 hours.

Sofa score interpretation. Unlike other scoring systems such as the saps ii and apache ii systems the sofa was designed to focus on organ dysfunction and morbidity with less of an emphasis on mortality prediction. The following table presents by comparison the score categories and the associated mortality percentages. The sequential organ failure assessment sofa score is a mortality prediction score that is based on the degree of dysfunction of six organ systems. The higher the sofa score the higher the likely mortality.

Total sofa score 0 to 24 sepsis criteria in addition to current infection sofa score 2 or change in sofa score by 2 or more points two point increase is associated with a mortality increase as much as 20. The score is based on six different scores one each for the respiratory cardiovascular hepatic coagulation renal and neurological systems. 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. The scores can be used in a number of ways.

The sequential organ failure assessment sofa is a morbidity severity score and mortality estimation tool developed from a large sample of icu patients throughout the world. This means that the overall score is between 0 and 24.