Critical Care (Jan 2023)
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 Azoulay,
- Tomoko Fujii,
- Anthony S. McLean,
- Jean-Louis Vincent
Affiliations
- Rui Moreno
- Hospital de São José, Centro Hospitalar Universitário de Lisboa Central, Faculdade de Ciências Médicas de Lisboa, Nova Médical School
- Andrew Rhodes
- Adult Critical Care, St. George’s University Hospitals NHS Foundation Trust, St. George’s University of London
- Lise Piquilloud
- Adult Intensive Care Unit, Lausanne University Hospital and Lausanne University
- Glenn Hernandez
- Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile
- Jukka Takala
- Department of Intensive Care Medicine, Bern University Hospital, University of Bern
- Hayley B. Gershengorn
- Division of Pulmonary, Critical Care, and Sleep Medicine, University of Miami Miller School of Medicine
- Miguel Tavares
- Department of Anesthesiology, Critical Care, and Emergency Medicine, Hospital de Santo António - Centro Hospitalar Universitário Do Porto
- Craig M. Coopersmith
- Department of Surgery, Emory Critical Care Center
- Sheila N. Myatra
- Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute
- Mervyn Singer
- Division of Medicine, Bloomsbury Institute of Intensive Care Medicine, University College London
- Ederlon Rezende
- Hospital Do Servidor Público Estadual “Francisco Morato de Oliveira”
- Hallie C. Prescott
- Department of Medicine, University of Michigan
- Márcio Soares
- Department of Critical Care, D’Or Institute for Research and Education (IDOR)
- Jean-François Timsit
- Medical and Infectious Diseases Intensive Care Unit (MI2), AP-HP, Bichat Hospital
- Dylan W. de Lange
- Department of Intensive Care Medicine, University Medical Centre Utrecht, University Utrecht
- Christian Jung
- Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf
- Jan J. De Waele
- Department of Critical Care Medicine, Ghent University Hospital
- Greg S. Martin
- Department of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University and Grady Memorial Hospital
- Charlotte Summers
- Heart and Lung Research Institute, University of Cambridge
- Elie Azoulay
- Medical Intensive Care Unit, Famirea Study Group
- Tomoko Fujii
- Intensive Care Unit, Jikei University Hospital
- Anthony S. McLean
- Department of Intensive Care Medicine, Nepean Hospital
- Jean-Louis Vincent
- Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles
- DOI
- https://doi.org/10.1186/s13054-022-04290-9
- Journal volume & issue
-
Vol. 27,
no. 1
pp. 1 – 5
Abstract
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.
