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SOFA score assesses organ dysfunction in suspected sepsis. Sequential SOFA tracking identifies deterioration earlier than traditional markers.
Steg-för-steg-guide
- 1Score six organ systems: respiration, coagulation, liver, cardiovascular, CNS, renal
- 2Each 0-4 points; total 0-24
- 3Score ≥2 from infection suspected indicates high mortality risk
Lösta exempel
Ingång
Respiratory failure (PaO2/FiO2 200), platelets 90k, lactate elevated, confused
Resultat
SOFA = 9 (significant dysfunction)
Sepsis with organ dysfunction
Vanliga misstag att undvika
- ✕Using baseline SOFA alone instead of trending changes
- ✕Applying complex scoring in non-sepsis patients
Vanliga frågor
How does SOFA differ from APACHE?
SOFA focuses on organ dysfunction; APACHE is overall severity. SOFA better tracks sepsis progression.
What SOFA increase is clinically significant?
An increase of 2+ points from baseline in suspected infection increases mortality prediction substantially.
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