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

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Moreno, Rui 
Rhodes, Andrew 
Piquilloud, Lise 
Hernandez, Glenn 
Takala, Jukka 


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.



Humans, Organ Dysfunction Scores, Critical Illness, Prognosis, Multiple Organ Failure

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Crit Care

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Springer Science and Business Media LLC