Sofa Score Interpretation

The score is based on six different scores one each for the respiratory cardiovascular hepatic coagulation renal and neurological systems.

Sofa score interpretation. 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. Each of the answer choices in the 6 variables has assigned points from 0 normal function to 4 high degree of dysfunction. The higher the sofa score the higher the likely mortality. 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 following table presents by comparison the score categories and the associated mortality percentages. 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. As individual scores for each organ to determine progression of organ dysfunction. 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 score is calculated on admission and every 24 hours until discharge using the worst parameters measured during the prior 24 hours. 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.