Sofa Score Sepsis Criteria

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.

Sofa score sepsis criteria. Temperature greater than 38 c 100 4 f or less than 36 c 96 8 f. We examined the epidemiology and prognostic value of qsofa in undifferentiated patients. It uses three criteria assigning one point for low blood pressure sbp 100 mmhg high respiratory rate 22 breaths per min or altered. Sofa score criteria are common physiologic and laboratory elements that are used when caring for individuals with a life threatening host response to infection.

Assessment of clinical criteria for sepsis. This instrument can be used both in a clinical and research settings and was initially created to assess organ failure in sepsis. The score is based on six different scores one each for the respiratory cardiovascular hepatic coagulation renal and neurological systems. The sofa score calculator is a tool that helps to determine the extent of organ dysfunction in critically ill patients using six different criteria.

The role of quick sequential organ failure assessment qsofa criteria in sepsis screening and management is controversial particularly as they were derived only in patients with suspected infection. Pre hospital ward emergency department or step down unit with confirmed or suspected infection. Patients 18 years old in a non icu setting i e. 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. These elements are abstracted from the medical record during post service reviews. In 1991 acep and the society of critical care medicine sccm created the systemic inflammatory response syndrome sirs criteria to help diagnose sepsis. The scores can be used in a number of ways.

The qsofa score also known as quicksofa is a bedside prompt that may identify patients with suspected infection who are at greater risk for a poor outcome outside the intensive care unit icu. The qsofa score was introduced by the sepsis 3 group as a simplified version of the sofa score a validated icu mortality prediction score to help identify patients with suspected infection that are at high risk for poor outcome defined as in hospital mortality or icu length of stay 3 days outside of the icu. You do not need to document sofa or change your documentation of your care for patients with sepsis.