The Sequential Organ Failure Assessment (SOFA) Score: has the time come for an update?
Rui P. Moreno, Andrew Rhodes, Lise Piquilloud, Glenn Hernández, Jukka Takala, Hayley B. Gershengorn, Miguel Tavares, Craig M. Coopersmith, Sheila Nainan 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, Élie Azoulay, Tomoko Fujii, Anthony S. McLean, Jean‐Louis Vincent
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.