{"id":2463,"date":"2009-11-05T13:16:24","date_gmt":"2009-11-05T13:16:24","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/utisofa\/"},"modified":"2025-05-14T19:08:57","modified_gmt":"2025-05-14T19:08:57","slug":"utisofa","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/utisofa\/","title":{"rendered":"The Sequential Organ Failure Assessment (SOFA) Score"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The SOFA system was created in a consensus meeting of the European Society of Intensive Care Medicine in 1994 and further revised in 1996. The SOFA is a six-organ dysfunction\/failure score measuring multiple organ failure daily. Each organ is graded from 0 (normal) to 4 (the most abnormal), providing a daily score of 0 to 24 points. The objective in the development of the SOFA was to create a simple, reliable, and continuous score easily obtained in every institution.<\/p>\n<p><!--more--><\/p>\n<p>Sequential assessment of organ dysfunction during the first few days of ICU admission is a good indicator of prognosis. Both the mean and highest SOFA scores are particularly useful predictors of outcome. Independent of the initial score, an increase in SOFA score during the first 48 hours in the ICU predicts a mortality rate of at least 50%.<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 21.4041%;\"><strong>SOFA score<br \/>\n<\/strong><\/td>\n<td style=\"text-align: center; height: 24px; width: 15.9247%;\" align=\"center\"><strong> 0<\/strong><\/td>\n<td style=\"text-align: center; height: 24px; width: 10.274%;\" align=\"center\"><strong> 1<\/strong><\/td>\n<td style=\"text-align: center; height: 24px; width: 17.8082%;\" align=\"center\"><strong>2<\/strong><\/td>\n<td style=\"text-align: center; height: 24px; width: 16.7808%;\" align=\"center\"><strong>3<br \/>\n<\/strong><\/td>\n<td style=\"text-align: center; height: 24px; width: 17.8082%;\" align=\"center\"><strong>4<br \/>\n<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 74px;\">\n<td style=\"height: 74px; width: 21.4041%;\"><span style=\"font-size: 8pt;\"><strong>Respiration<sup>a<\/sup><br \/>\n<\/strong> PaO<sub>2<\/sub>\/FIO<sub>2<\/sub> (mm Hg)<\/span><br \/>\n<span style=\"font-size: 8pt;\">SaO<sub>2<\/sub>\/FIO<sub>2<\/sub><\/span><\/td>\n<td style=\"text-align: center; height: 74px; width: 15.9247%;\" align=\"center\"><span style=\"font-size: 8pt;\"><span style=\"font-size: 8pt;\"><br \/>\n&gt;400<\/span><\/span><\/td>\n<td style=\"text-align: center; height: 74px; width: 10.274%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;400<\/span><br \/>\n<span style=\"font-size: 8pt;\">221\u2013301<\/span><\/td>\n<td style=\"text-align: center; height: 74px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;300<\/span><br \/>\n<span style=\"font-size: 8pt;\">142\u2013220<\/span><\/td>\n<td style=\"text-align: center; height: 74px; width: 16.7808%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;200<\/span><br \/>\n<span style=\"font-size: 8pt;\">67\u2013141<\/span><\/td>\n<td style=\"text-align: center; height: 74px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;100<\/span><br \/>\n<span style=\"font-size: 8pt;\">&lt;67<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"height: 48px; width: 21.4041%;\"><span style=\"font-size: 8pt;\"><strong>Coagulation<\/strong><\/span><br \/>\n<span style=\"font-size: 8pt;\">Platelets 10<sup>3<\/sup>\/mm<sup>3<\/sup><\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 15.9247%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&gt;150<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 10.274%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;150<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;100<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 16.7808%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;50<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;20<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"height: 48px; width: 21.4041%;\"><span style=\"font-size: 8pt;\"><strong>Liver<\/strong><\/span><br \/>\n<span style=\"font-size: 8pt;\">Bilirubin (mg\/dL)<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 15.9247%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;1.2<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 10.274%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n1.2\u20131.9<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n2.0\u20135.9<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 16.7808%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n6.0\u201311.9<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&gt;12.0<\/span><\/td>\n<\/tr>\n<tr style=\"height: 72px;\">\n<td style=\"height: 72px; width: 21.4041%;\"><span style=\"font-size: 8pt;\"><strong>Cardiovascular<sup>b<\/sup><\/strong><\/span><br \/>\n<span style=\"font-size: 8pt;\">Hypotension<\/span><\/td>\n<td style=\"text-align: center; height: 72px; width: 15.9247%;\" align=\"center\"><span style=\"font-size: 8pt;\">No hypotension<\/span><\/td>\n<td style=\"text-align: center; height: 72px; width: 10.274%;\" align=\"center\"><span style=\"font-size: 8pt;\">MAP &lt;70<\/span><\/td>\n<td style=\"text-align: center; height: 72px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\">Dopamine &lt;\/=5 or<\/span><br \/>\n<span style=\"font-size: 8pt;\">dobutamine (any)<\/span><\/td>\n<td style=\"text-align: center; height: 72px; width: 16.7808%;\" align=\"center\"><span style=\"font-size: 8pt;\">Dopamine &gt;5 or<\/span><br \/>\n<span style=\"font-size: 8pt;\">norepinephrine<\/span><br \/>\n<span style=\"font-size: 8pt;\">&lt;\/=0.1<\/span><\/td>\n<td style=\"text-align: center; height: 72px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\">Dopamine &gt;15 or<\/span><br \/>\n<span style=\"font-size: 8pt;\">norepinephrine<\/span><br \/>\n<span style=\"font-size: 8pt;\">&gt;0.1<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"height: 48px; width: 21.4041%;\"><span style=\"font-size: 8pt;\"><strong>CNS<\/strong><\/span><br \/>\n<span style=\"font-size: 8pt;\">Glasgow Coma Score<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 15.9247%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n15<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 10.274%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n13\u201314<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n10\u201312<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 16.7808%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n6\u20139<\/span><\/td>\n<td style=\"text-align: center; height: 48px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;6<\/span><\/td>\n<\/tr>\n<tr style=\"height: 96px;\">\n<td style=\"height: 73px; width: 21.4041%;\"><span style=\"font-size: 8pt;\"><strong>Renal<\/strong><\/span><br \/>\n<span style=\"font-size: 8pt;\">Creatinine (mg\/dL)<\/span><br \/>\n<span style=\"font-size: 8pt;\">or urine output<\/span><br \/>\n<span style=\"font-size: 8pt;\">(mL\/d)<\/span><\/td>\n<td style=\"text-align: center; height: 73px; width: 15.9247%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&lt;1.2<\/span><\/td>\n<td style=\"text-align: center; height: 73px; width: 10.274%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n1.2\u20131.9<\/span><\/td>\n<td style=\"text-align: center; height: 73px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n2.0\u20133.4<\/span><\/td>\n<td style=\"text-align: center; height: 73px; width: 16.7808%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n3.5\u20134.9 or &lt;500<\/span><\/td>\n<td style=\"text-align: center; height: 73px; width: 17.8082%;\" align=\"center\"><span style=\"font-size: 8pt;\"><br \/>\n&gt;5.0 or &lt;200<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>MAP, mean arterial pressure; CNS, central nervous system; SaO<sub>2<\/sub>, peripheral arterial oxygen saturation.<br \/>\n<sup>a<\/sup>PaO<sub>2<\/sub>\/FIO<sub>2<\/sub> ratio was used preferentially. If not available, the SaO<sub>2<\/sub>\/FIO<sub>2<\/sub> ratio was used; <sup>b<\/sup>vasoactive mediations administered for at least 1 hr (dopamine and norepinephrine ug\/kg\/min).<\/p>\n<p><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-0127150553352455\" data-ad-slot=\"7834404329\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><br \/>\n<strong>Quick Sequential Organ Failure Assessment (SOFA) score<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"width: 69.5205%; height: 24px;\"><strong>qSOFA (Quick SOFA) Criteria<\/strong><\/td>\n<td style=\"width: 30.4795%; text-align: center; height: 24px;\"><strong>Points<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 69.5205%; height: 24px;\">Respiratory rate \u226522\/min<\/td>\n<td style=\"width: 30.4795%; text-align: center; height: 24px;\">1<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 69.5205%; height: 24px;\">Change in mental status<\/td>\n<td style=\"width: 30.4795%; text-align: center; height: 24px;\">1<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 69.5205%; height: 24px;\">Systolic blood pressure \u2264100 mmHg<\/td>\n<td style=\"width: 30.4795%; text-align: center; height: 24px;\">1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>A qSOFA score of \u22652 points indicates organ dysfunction<\/p>\n<p><a href=\"https:\/\/medicalcriteria.com\/web\/psofa\/\" target=\"_blank\" rel=\"noopener noreferrer\">Pediatric Sequential Organ Failure Assessment (pSOFA) Score<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Jones AE, Trzeciak S, Kline JA. The Sequential Organ Failure Assessment score for predicting outcome in patients with severe sepsis and evidence of hypoperfusion at the time of emergency department presentation. Crit Care Med. 2009 May;37(5):1649-54. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19325482\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Ferreira FL, Bota DP, Bross A, M\u00e9lot C, Vincent JL. Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA. 2001 Oct 10;286(14):1754-8. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11594901\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Vincent JL, Moreno R, Takala J, Willatts S, De Mendon\u00e7a A, Bruining H, Reinhart CK, Suter PM, Thijs LG. 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 Jul;22(7):707-10. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8844239\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Marik PE, Taeb AM. SIRS, qSOFA and new sepsis definition. J Thorac Dis. 2017 Apr;9(4):943-945. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28523143\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Nov 5, 2009<br \/>\nUptodate: Jul 18, 2020<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[148],"tags":[785,161,674,901,1344,1374,1373,450,1372,1371,1370,1375],"class_list":["post-2463","post","type-post","status-publish","format-standard","hentry","category-critical-care","tag-assessment","tag-evaluacion","tag-failure","tag-fallo","tag-infectious","tag-organ","tag-organico","tag-score","tag-secuencial","tag-sequential","tag-sofa","tag-uti"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2463","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2463"}],"version-history":[{"count":12,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2463\/revisions"}],"predecessor-version":[{"id":8786,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2463\/revisions\/8786"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2463"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2463"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2463"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}