6. SOFA

Question 1

SOFA

Answer 1

Sequential Organ Failure Assessment (SOFA) scoring system

Question 2

Unlike the bedside qSOFA evaluation, the SOFA utilizes

Answer 2

lab results to assess the extent of a pt’s organ dysfunction.

Question 3

how many organ systems are evaluated:

Answer 3

Six. And each is assigned a score from 0 to 4 based on results to obtain the total score.

1. Hypotension (cardiovascular)
2. Glasgow Coma Scale score (neurological)
3. PaO2/FiO2 (pulmonary)
4. Serum creatinine or urine output (renal)
5. Bilirubin level (hepatic)
6. Platelet count (hematologic)

Question 4

The total score may be useful for

Answer 4

predicting the clinical outcome of critically ill pts.

Studies have shown that mortality rates are associated with the SOFA score: the mortality rate is 50% if the score increases in the first 96 hours after admission; the mortality rate is 25% if the score remains the same in the first 96 hours after admission; and the mortality rate is less than 25% if the score decreases in the first 96 hours after admission.