« Previous | Contents | Next »
Listen
Appendix 14: The Sequential Organ Failure Assessment scoring system
The Sequential Organ Failure Assessment ( SOFA) score is based on a variety of easily measurable physiological parameters that have been validated in the critical care setting against a number of different conditions. It therefore gives a measurable degree of objectivity to support clinical decision-making. 72*
Organ system | 0 | 1 | 2 | 3 | 4 |
|---|
Respiratory
Pa02/FiO2 | >400 | = 400 | = 300 | = 200 | = 100 |
Renal
Creatinine (µmol/l) | <106 | 106-168 | 169-300 | 301-433
urine output
<500ml/day | >433
urine output
<200ml/day |
Hepatic
Bilirubin (µmol/l) | <20 | 20-32 | 33-100 | 101-203 | >203 |
Cardiovascular
Hypotension | No hypotension | Mean
arterial BP
<70mmHg | Dopamine
= 5 | Dopamine >5
or Epinephrine
= 0.1 or
Norepinephrine
= 0.1 | Dopamine >15
or Epinephrine
>0.1 or
Norepinephrine
>0.1 |
Haematological
Platelet count
(thousands/mm3) | >150 | = 150 | = 100 | = 50 | = 20 |
Neurological
Glasgow Coma
Scale score | 15 | 13-14 | 10-12 | 6-9 | <6 |
« Previous | Contents | Next »