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

Rui Moreno, Andrew Rhodes, Lise Piquilloud, Glenn Hernandez, Jukka Takala, Hayley B Gershengorn, Miguel Tavares, Craig M Coopersmith, Sheila N Myatra, Mervyn Singer, Ederlon Rezende, Hallie C Prescott, Márcio Soares, Jean-François Timsit, Dylan W de Lange, Christian Jung, Jan J De Waele, Greg S Martin, Charlotte Summers, Elie AzoulayTomoko Fujii, Anthony S McLean, Jean-Louis Vincent

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Abstract

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.

Original languageEnglish
Article number15
JournalCritical care (London, England)
Volume27
Issue number1
DOIs
Publication statusPublished - 13 Jan 2023

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