Sofa Score Sepsis. Why was the sofa score developed? Higher the sofa score, the higher the likely mortality.
The apache ii score, δsofa, δlac and sofa mean score were independently associated with hospital mortality in sepsis patients and accurately predicted the hospital mortality rate and median survival time. Introduced recently in 2016 by the sepsis 3 group, the score also provides an updated definition of sepsis and aims to move clinical judgment away from the previous sirs criteria. Multiple criteria for sepsis have been proposed, including the systemic inflammatory response syndrome (sirs) criteria and, more recently, the sequential organ failure assessment (sofa) and quick sofa (qsofa). This recommendation remains controversial, as the qsofa has been shown to be more predictive than the sofa outside of the icu setting.
The score is based on six different scores, one each for the respiratory, cardiovascular, hepatic.
By 2017 surviving sepsis guidelines, the. Early recognition of sepsis leads to earlier treatment and better outcomes. However, the sofa score is not adjusted for age and therefore not suitable for children. 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.
