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

par Moreno, Rui;Rhodes, Andrew;Piquilloud, Lise;Hernandez, Glenn;Takala, Jukka;Gershengorn, Hayley Beth;Tavares, Miguel;Coopersmith, Craig C.M.;Myatra, Sheila Nainan;Singer, Mervyn;Rezende, Ederlon;Prescott, Hallie H.C.;Soares, Marcio;Timsit, Jean Francois;de Lange, Dylan D.W.;Jung, Christian;De Waele, Jan J.J.;Martin, Greg;Summers, Charlotte;Azoulay, Elie;Fujii, Tomoko;McLean, Anthony;Vincent, Jean Louis
Référence Critical care, 27, 1, 15
Publication Publié, 2023-12

Article révisé par les pairs

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Résumé :

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.