Intensive care
Sequential Organ Failure Assessment Score
Sequential Organ Failure Assessment — mortaliteit op de IC.
Inhoud in het Engels
SOFA-score-calculator
Uitkomst
0/24
IC-mortaliteit ~10%
Hoe je hem gebruikt
- 1
Zes orgaansystemen. Respiratoir (P/F-ratio), stolling (trombocyten), neurologisch (GCS), hepatisch (bilirubine), cardiovasculair (MAP/vasopressoren), renaal (creatinine/urineproductie).
- 2
Delta-SOFA. De verandering van de SOFA in de tijd voorspelt de uitkomst beter dan één enkele waarde.
- 3
Sepsis-3-definitie. Sepsis = verdenking op infectie + acute stijging van de SOFA ≥2 ten opzichte van de uitgangswaarde.
Wanneer je hem gebruikt
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.
- IC-opname en dagelijkse bewaking
- Seriële SOFA volgt het beloop van orgaandisfunctie.
- Diagnose van sepsis
- SOFA ≥2 ten opzichte van de uitgangswaarde = sepsis. Lactaat ≥2 + SOFA ≥2 = septische shock (onafhankelijk).
- Toewijzing van middelen
- Bij pandemieën helpt de SOFA schaarse IC-capaciteit consistent te verdelen.
Over de 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.
Veelgestelde vragen
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.
