Intensivmedizin
Sequential Organ Failure Assessment Score
Sequential Organ Failure Assessment — Mortalität auf der Intensivstation.
Inhalt auf Englisch
SOFA-Score-Rechner
Ergebnis
0/24
Intensivmortalität ~10%
So wendest du ihn an
- 1
Sechs Organsysteme. Respiratorisch (P/F-Quotient), Gerinnung (Thrombozyten), neurologisch (GCS), hepatisch (Bilirubin), kardiovaskulär (MAP/Vasopressoren), renal (Kreatinin/Urinausscheidung).
- 2
Delta-SOFA. Die Veränderung des SOFA im Verlauf sagt den Ausgang besser voraus als ein Einzelwert.
- 3
Sepsis-3-Definition. Sepsis = Infektionsverdacht + akuter SOFA-Anstieg ≥2 gegenüber dem Ausgangswert.
Wann du ihn einsetzt
Use in all ICU patients for daily monitoring of organ dysfunction, prognosis estimation, and to operationalise the Sepsis-3 definition of sepsis in patients with suspected infection.
- Aufnahme auf die Intensivstation und tägliche Überwachung
- Serieller SOFA verfolgt den Verlauf der Organdysfunktion.
- Diagnose der Sepsis
- SOFA ≥2 gegenüber dem Ausgangswert = Sepsis. Laktat ≥2 + SOFA ≥2 = septischer Schock (unabhängig).
- Ressourcenzuteilung
- In Pandemien hilft der SOFA, knappe Intensivkapazitäten konsistent zuzuteilen.
Über den Score
The Sequential Organ Failure Assessment (SOFA) score is the gold-standard tool for quantifying organ dysfunction in critically ill patients. It evaluates six organ systems — respiratory, coagulation, hepatic, cardiovascular, neurological, and renal — each scored 0 to 4, giving a total of 0 to 24. According to the Sepsis-3 consensus definitions (2016), sepsis is defined as a life-threatening organ dysfunction caused by infection, operationally identified by an acute increase in SOFA score of ≥2 points from baseline in a patient with suspected infection. SOFA is also used as a prognostic tool, with higher scores correlating with increased ICU mortality.
Häufige Fragen
What SOFA score defines sepsis?
Per the Sepsis-3 consensus (2016), sepsis is defined as an acute increase in SOFA score of ≥2 points from baseline in a patient with suspected or confirmed infection. The SOFA score operationalises the concept of life-threatening organ dysfunction in this context.
What is the difference between SOFA and qSOFA?
SOFA is the full six-organ scoring system requiring lab values and ICU parameters. qSOFA (quick SOFA) is a rapid bedside screen using three criteria: respiratory rate ≥22/min, altered mentation (GCS <15), and systolic BP ≤100 mmHg. qSOFA identifies patients outside the ICU who may be deteriorating; a positive qSOFA (≥2) warrants full SOFA assessment.
