The Sequential Organ Failure Assessment (SOFA) Score: has the time come for an update?

被引：89

作者：

Moreno, Rui ^{[1
,2
]}

Rhodes, Andrew ^{[3
]}

Piquilloud, Lise ^{[4
,5
]}

Hernandez, Glenn ^{[6
]}

Takala, Jukka ^{[7
]}

Gershengorn, Hayley B. ^{[8
]}

Tavares, Miguel ^{[9
]}

Coopersmith, Craig M. ^{[10
]}

Myatra, Sheila N. ^{[11
]}

Singer, Mervyn ^{[12
]}

Rezende, Ederlon ^{[13
]}

Prescott, Hallie C. ^{[14
,27
]}

Soares, Marcio ^{[15
]}

Timsit, Jean-Francois ^{[16
]}

de Lange, Dylan W. ^{[17
]}

Jung, Christian ^{[18
]}

De Waele, Jan J. ^{[19
]}

Martin, Greg S. ^{[20
,21
]}

Summers, Charlotte ^{[22
]}

Azoulay, Elie ^{[23
]}

Fujii, Tomoko ^{[24
]}

McLean, Anthony S. ^{[25
]}

Vincent, Jean-Louis ^{[26
]}

机构：

[1] CHU Lisboa Cent, Hosp Sao Jose, Nova Med Sch, Fac Ciencias Med Lisboa, Lisbon, Portugal

[2] Univ Beira Interior, Fac Ciencias Saude, Covilha, Portugal

[3] St Georges Univ London, St Georges Univ Hosp NHS Fdn Trust, London, England

[4] Lausanne Univ Hosp, Adult Intens Care Unit, Lausanne, Switzerland

[5] Univ Lausanne, Lausanne, Switzerland

[6] Pontificia Univ Catolica Chile, Fac Med, Dept Med Intens, Santiago, Chile

[7] Univ Bern, Dept Intens Care Med, Univ Hosp Bern, Bern, Switzerland

[8] Univ Miami, Miller Sch Med, Div Pulm Crit Care & Sleep Med, Miami, FL 33136 USA

[9] CHU Porto, Hosp Santo Antonio, Dept Anesthesiol Crit Care & Emergency Med, Porto, Portugal

[10] Emory Crit Care Ctr, Dept Surg, Atlanta, GA 30322 USA

[11] Tata Mem Hosp, Homi Bhabha Natl Inst, Dept Anaesthesiol Crit Care & Pain, Mumbai, Maharashtra, India

[12] UCL, Bloomsbury Inst Intens Care Med, Div Med, London, England

[13] Hosp Servidor Publ Estadual Francisco Morato O, Sao Paulo, SP, Brazil

[14] Univ Michigan, Dept Med, Ann Arbor, MI USA

[15] DOr Inst Res & Educ IDOR, Dept Crit Care, Rio De Janeiro, Brazil

[16] Hop Xavier Bichat, AP HP, Med & Infect Dis Intens Care Unit MI2, Paris, France

[17] Univ Utrecht, Univ Med Ctr Utrecht, Dept Intens Care Med, Utrecht, Netherlands

[18] Heinrich Heine Univ Dusseldorf, Univ Hosp Dusseldorf, Fac Med, Div Cardiol Pulmonol & Vasc Med, D-40225 Dusseldorf, Germany

[19] Ghent Univ Hosp, Dept Crit Care Med, Ghent, Belgium

[20] Emory Univ, Div Pulm Allergy Crit Care & Sleep Med, Dept Med, Atlanta, GA USA

[21] Grady Mem Hosp, Atlanta, GA USA

[22] Univ Cambridge, Heart & Lung Res Inst, Cambridge, England

[23] Famirea Study Grp, Med Intens Care Unit, Paris, France

[24] Jikei Univ Hosp, Intens Care Unit, Tokyo, Japan

[25] Nepean Hosp, Dept Intens Care Med, Kingswood, NSW, Australia

[26] Univ Libre Bruxelles, Erasme Hosp, Dept Intens Care, B-1070 Brussels, Belgium

[27] VA Ctr Clin Management Res, HSR&D Ctr Innovat, Ann Arbor, MI 48105 USA

来源：

CRITICAL CARE | 2023年 / 27卷 / 01期

关键词：

NONLINEAR IMPUTATION; SEPTIC SHOCK; NOREPINEPHRINE; SPO(2)/FIO(2); PAO(2)/FIO(2); DOPAMINE; SEPSIS; ICU;

D O I：

10.1186/s13054-022-04290-9

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The Sequential Organ Failure Assessment (SOFA) score was developed more than 25 years ago to provide a simple method of assessing and monitoring organ dysfunction in critically ill patients. Changes in clinical practice over the last few decades, with new interventions and a greater focus on non-invasive monitoring systems, mean it is time to update the SOFA score. As a first step in this process, we propose some possible new variables that could be included in a SOFA 2.0. By so doing, we hope to stimulate debate and discussion to move toward a new, properly validated score that will be fit for modern practice.

引用

页数：5

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