SOFA

 

• The SOFA score was developed in 1994–1996 by a working group of the European Society of Intensive Care Medicine (ESICM).

• The aim was to create a simple, reproducible scoring system to describe and quantify organ dysfunction/failure in ICU patients, particularly in sepsis.

• The original system was called the Sepsis-related Organ Failure Assessment (SOFA).

First Publication

• The score was first described in 1996 by Jean-Louis Vincent and colleagues.

  Published in Intensive Care Medicine (1996). 

   “The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure.”

   
   

   

  qSOFA   (USA contribution)

   

  Development of qSOFA 

  During the Sepsis-3 work, American researchers including Mervyn Singer, Clifford S. Deutschman, and others proposed the quick SOFA (qSOFA).

  qSOFA parameters:

  1. Respiratory rate ≥22/min

  2. Altered mentation

  3. Systolic BP ≤100 mmHg

  qSOFA was designed mainly for use outside ICUs, particularly in emergency departments and wards. 

  In many American hospitals, qSOFA is used for:

  • Rapid sepsis screening in the emergency department

  • Early warning on hospital wards

  • Triggering sepsis protocols or rapid response teams

  However, U.S. guidelines such as those from the Society of Critical Care Medicine emphasize that qSOFA is a risk-stratification tool, not a definitive diagnostic test for sepsis.

  
  

   

  

  
   

  
  Current Events
   
   

   

   

   

   

  SOFA To SOFA 2.0 

   

   

   

  Snapshot