Sequential Organ Failure Assessment Score (SOFA)
Identifies organ dysfunction in the in-hospital population with suspected infection
Answer all questions to see the result
Dodatne informacije
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Opozorilo
Orodje je namenjeno zgolj v izobraževalne namene in ne predstavlja strokovnega nasveta ali nadomestka za strokovni nasvet. Orodja ni dovoljeno uporabljati za podajo medicinske diagnoze in/ali medicinsko zdravljenje.
Splošni opis
Ocena prizadetosti organov SOFA (Sequential Organ Failure Assessment score) se uporablja za spremljanje bolnikovega stanja med hospitalizacijo na enoti za intenzivno oskrbo in določanje stopnje delovanja bolnikovih organov ali hitrosti odpovedi. Ocena temelji na šestih različnih rezultatih – dihala, srčnožilni sistem, jetra, koagulacija, ledvice in živčevje.
Ocena prizadetosti organov SOFA (Sequential Organ Failure Assessment score) se uporablja za spremljanje bolnikovega stanja med hospitalizacijo na enoti za intenzivno oskrbo in določanje stopnje delovanja bolnikovih organov ali hitrosti odpovedi. Ocena temelji na šestih različnih rezultatih – dihala, srčnožilni sistem, jetra, koagulacija, ledvice in živčevje.
Formula
Respiration
PaO₂/FiO₂ × 100, mmHg
• < 400 - (1 point)
• < 300 - (2 points)
• < 200* - (3 points)
• < 100* - (4 points)
*With respiratory support
PaO₂/FiO₂ × 100, mmHg
• < 400 - (1 point)
• < 300 - (2 points)
• < 200* - (3 points)
• < 100* - (4 points)
*With respiratory support
Coagulation
Platelets ×10³/mm³
• < 150 - (1 point)
• < 100 - (2 points)
• < 50 - (3 points)
• < 20 - (4 points)
Platelets ×10³/mm³
• < 150 - (1 point)
• < 100 - (2 points)
• < 50 - (3 points)
• < 20 - (4 points)
Liver
Bilirubin, mg/dl (µmol/l)
• 1,2-1,9 (20-32) - (1 point)
• 2-5,9 (33-101) - (2 points)
• 6-11,9 (102-204) - (3 points)
• > 12 (> 204) - (4 points)
Bilirubin, mg/dl (µmol/l)
• 1,2-1,9 (20-32) - (1 point)
• 2-5,9 (33-101) - (2 points)
• 6-11,9 (102-204) - (3 points)
• > 12 (> 204) - (4 points)
Cardiovascular
Hypotension
• MAP < 70 mmHg - (1 point)
• Dopamine ≤ 5 or dobutamine (any dose)¹ - (2 points)
• Dopamine > 5 or epinephrine ≤ 0,1 or norepinephrine ≤ 0,1 - (3 points)
• Dopamine > 15 or epinephrine > 0,1or norepinephrine > 0,1 - (4 points)
¹Adrenergic agents administered for at least 1h (doses given are in µg/kg/min)
Hypotension
• MAP < 70 mmHg - (1 point)
• Dopamine ≤ 5 or dobutamine (any dose)¹ - (2 points)
• Dopamine > 5 or epinephrine ≤ 0,1 or norepinephrine ≤ 0,1 - (3 points)
• Dopamine > 15 or epinephrine > 0,1or norepinephrine > 0,1 - (4 points)
¹Adrenergic agents administered for at least 1h (doses given are in µg/kg/min)
Central nervous system
Glasgow Coma Score
• 13-14 - (1 point)
• 10-12 - (2 points)
• 6-9 - (3 points)
• < 6 - (4 points)
Glasgow Coma Score
• 13-14 - (1 point)
• 10-12 - (2 points)
• 6-9 - (3 points)
• < 6 - (4 points)
Renal
Creatinine, mg/dl (µmol/l) or urine output
• 1.2-1.9 (110-170) - (1 point)
• 2.0-3.4 (171-299) - (2 points)
• 3.5-4.9 (300-440) or < 500 ml/day - (3 points)
• > 5.0 (> 440) or < 200 ml/day - (4 points)
Creatinine, mg/dl (µmol/l) or urine output
• 1.2-1.9 (110-170) - (1 point)
• 2.0-3.4 (171-299) - (2 points)
• 3.5-4.9 (300-440) or < 500 ml/day - (3 points)
• > 5.0 (> 440) or < 200 ml/day - (4 points)
Reference
Vincent JL, Moreno R, Takala J, et al. 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;22:707–710.
Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 2016;315(8):801-810.
Verzija
2
O tem orodju
Ocena prizadetosti organov SOFA (Sequential Organ Failure Assessment score) se uporablja za spremljanje bolnikovega stanja med hospitalizacijo na enoti za intenzivno oskrbo in določanje stopnje delovanja bolnikovih organov ali hitrosti odpovedi. Ocena temelji na šestih različnih rezultatih – dihala, srčnožilni sistem, jetra, koagulacija, ledvice in živčevje.
