WordNet

write a musical score for
a slight surface cut (especially a notch that is made to keep a tally) (同)scotch
a number that expresses the accomplishment of a team or an individual in a game or contest; "the score was 7 to 0"
an amount due (as at a restaurant or bar); "add it to my score and Ill settle later"
the act of scoring in a game or sport; "the winning score came with less than a minute left to play"
grounds; "dont do it on my account"; "the paper was rejected on account of its length"; "he tried to blame the victim but his success on that score was doubtful" (同)account
a written form of a musical composition; parts for different instruments appear on separate staves on large pages; "he studied the score of the sonata" (同)musical score
a set of twenty members; "a score were sent out but only one returned"
the facts about an actual situation; "he didnt know the score"
gain points in a game; "The home team scored many times"; "He hit a home run"; "He hit .300 in the past season" (同)hit, tally, rack_up
make underscoring marks (同)mark
make small marks into the surface of; "score the clay before firing it" (同)nock, mark
get a certain number or letter indicating quality or performance; "She scored high on the SAT"; "He scored a 200"
an upholstered seat for more than one person (同)couch, lounge

PrepTutorEJDIC

(ゲーム・競技の)『スコア』,得点記録 / (ゲーム・競技の)『得点』 / (試験の)点数,評点 / 《おもに文》20[の単位] / 《複数形で》多数(の…)《+『of』+『名』》 / 《まれ》勘定,借金 / 《単数形で》理由,根拠,原因 / (また『score mark』)刻み目,線,印 / 総譜,楽譜 / (ゲーム・競技で)〈点数〉‘を'『得点する』 / 〈競技〉‘の'得点を記録する / 〈得点〉‘を'〈人〉‘に'与える《+『名』〈人〉+『名』〈得点〉=+『名』〈得点〉+『to』(『for』)+『名』〈人〉》 / 〈試験〉‘を'採点する;(試験で)…‘の'点をとる《+『名』+『on』+『名』》 / (…で)…‘に'刻み目(印)をつける,線をひく《+『名』+『with』+『名』》 / 《米話》…‘を'こきおろす,酷評する / 《通例受動態で》(…のために)〈音楽〉‘を'作曲(編曲)する《+『for』+『名』》 / (ゲーム・競技で)『得点する』 / 優勢となる,成功する / 《俗》〈男が〉(女を)くどき落とす《+『with』+『名』》 / 《俗》麻薬を売う
『長いす』,ソファー

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/10/18 00:37:49」(JST)

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The Sequential Organ Failure Assessment score, or just SOFA score, is used to track a patient's status during the stay in an intensive care unit (ICU). It is one of several ICU scoring systems.

The SOFA score is a scoring system to determine the extent of a person's organ function or rate of failure.^[1]^[2]^[3]^[4]^[5] The score is based on six different scores, one each for the respiratory, cardiovascular, hepatic, coagulation, renal and neurological systems.

Both the mean and highest SOFA scores being predictors of outcome. An increase in SOFA score during the first 24 to 48 hours in the ICU predicts a mortality rate of at least 50% up to 95%. Scores less than 9 give predictive mortality at 33% while above 11 can be close to or above 95%

The score tables below only describe points-giving conditions. In cases where the physiological parameters do not match any row, zero points are given. In cases where the physiological parameters match more than one row, the row with most points is picked.

Respiratory System[edit]

PaO₂/FiO₂ (mmHg)	SOFA score
< 400	1
< 300	2
< 200 and mechanically ventilated	3
< 100 and mechanically ventilated	4

Nervous System[edit]

Glasgow coma scale	SOFA score
13–14	1
10–12	2
6–9	3
< 6	4

Cardio Vascular System[edit]

Mean Arterial Pressure OR administration of vasopressors required	SOFA score
MAP < 70 mm/Hg	1
dop <= 5 or dob (any dose)	2
dop > 5 OR epi <= 0.1 OR nor <= 0.1	3
dop > 15 OR epi > 0.1 OR nor > 0.1	4

(vasopressor drug doses are in µg/kg/min)

Drug abbreviations: dop for dopamine, dob for dobutamine, epi for epinephrine and nor for norepinephrine.

Liver[edit]

Bilirubin (mg/dl) [μmol/L]	SOFA score
1.2–1.9 [> 20-32]	1
2.0–5.9 [33-101]	2
6.0–11.9 [102-204]	3
> 12.0 [> 204]	4

Coagulation[edit]

Platelets×10³/µl	SOFA score
< 150	1
< 100	2
< 50	3
< 20	4

Renal System[edit]

Creatinine (mg/dl) [μmol/L] (or urine output)	SOFA score
1.2–1.9 [110-170]	1
2.0–3.4 [171-299]	2
3.5–4.9 [300-440] (or < 500 ml/d)	3
> 5.0 [> 440] (or < 200 ml/d)	4

References[edit]

^ Vincent JL, Moreno R, Takala J, Willatts S, De Mendonça A, Bruining H, Reinhart CK, Suter PM, Thijs LG. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med 1996 Jul;22(7):707-10. PMID 8844239.
^ Vincent JL, de Mendonça A, Cantraine F, Moreno R, Takala J, Suter PM, Sprung CL, Colardyn F, Blecher S. Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: results of a multicenter, prospective study. Working group on "sepsis-related problems" of the European Society of Intensive Care Medicine. Crit Care Med 1998 Nov;26(11):1793-800. PMID 9824069.
^ Moreno R, Vincent JL, Matos R, Mendonça A, Cantraine F, Thijs L, Takala J, Sprung C, Antonelli M, Bruining H, Willatts S. The use of maximum SOFA score to quantify organ dysfunction/failure in intensive care. Results of a prospective, multicentre study. Working Group on Sepsis related Problems of the ESICM. Intensive Care Med 1999 Jul;25(7):686-96. PMID 10470572.
^ de Mendonça A, Vincent JL, Suter PM, Moreno R, Dearden NM, Antonelli M, Takala J, Sprung C, Cantraine F. Acute renal failure in the ICU: risk factors and outcome evaluated by the SOFA score. Intensive Care Med 2000 Jul;26(7):915-21. PMID 10990106.
^ Ferreira FL, Bota DP, Bross A, Mélot C, Vincent JL. Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA 2001 Oct 10;286(14):1754-8. PMID 11594901.

External links[edit]

Janssens U, et al. Value of SOFA (Sequential Organ Failure Assessment) score and total maximum SOFA score in 812 patients with acute cardiovascular disorders [abstract]. Crit Care 2001;5(Suppl 1):P225.

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English Journal

Consideration of additional factors in Sequential Organ Failure Assessment score.

Lee KS1, Sheen SS1, Jung YJ1, Park RW2, Lee YJ3, Chung WY1, Park JH1, Park KJ4.Author information 1Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, 443-721, South Korea.2Department of Medical Informatics, Ajou University School of Medicine, Suwon, South Korea.3Department of Anesthesiology, Ajou University School of Medicine, Suwon, South Korea.4Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, 443-721, South Korea. Electronic address: parkkj@ajou.ac.kr.AbstractPURPOSE: The Sequential Organ Failure Assessment (SOFA) score, originally developed to assess organ failure status, is widely used as a prognostic indicator in intensive care unit patients. Additional prognostic factors, such as age and comorbidities, may complement the predictive performance of the SOFA.
Journal of critical care.J Crit Care.2014 Feb;29(1):185.e9-185.e12. doi: 10.1016/j.jcrc.2013.10.006. Epub 2013 Oct 22.
PURPOSE: The Sequential Organ Failure Assessment (SOFA) score, originally developed to assess organ failure status, is widely used as a prognostic indicator in intensive care unit patients. Additional prognostic factors, such as age and comorbidities, may complement the predictive performance of the
PMID 24262274

The effect of positive balance on the outcomes of critically ill noncardiac postsurgical patients: a retrospective cohort study.

Shim HJ1, Jang JY2, Lee SH2, Lee JG3.Author information 1Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.2Division of Surgical Critical Care and Trauma, Department of Surgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea.3Division of Surgical Critical Care and Trauma, Department of Surgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea. Electronic address: jaki@yuhs.ac.AbstractPURPOSE: Fluid balance remains a highly controversial topic in the critical care field, and no consensus has been reached about the fluid levels required by critically ill surgical patients. In this study, we investigated the relationship between fluid balance and in-hospital mortality in critically ill surgical patients.
Journal of critical care.J Crit Care.2014 Feb;29(1):43-8. doi: 10.1016/j.jcrc.2013.08.009. Epub 2013 Oct 17.
PURPOSE: Fluid balance remains a highly controversial topic in the critical care field, and no consensus has been reached about the fluid levels required by critically ill surgical patients. In this study, we investigated the relationship between fluid balance and in-hospital mortality in critically
PMID 24140168

The incidence and significance of bacteremia in out of hospital cardiac arrest.

Coba V1, Jaehne AK2, Suarez A3, Dagher GA2, Brown SC2, Yang JJ4, Manteuffel J2, Rivers EP5.Author information 1Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI, United States; Department of Surgery, Henry Ford Hospital, Detroit, MI, United States. Electronic address: vcoba1@hfhs.org.2Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI, United States.3Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI, United States; Department of Anesthesiology, Henry Ford Hospital, Detroit, MI, United States.4Department of Public Health Sciences, Henry Ford Hospital, Detroit, MI, United States.5Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI, United States; Department of Surgery, Henry Ford Hospital, Detroit, MI, United States.AbstractBACKGROUND: The most common etiology of cardiac arrest is presumed of myocardial origin. Recent retrospective studies indicate that preexisting pneumonia, a form of sepsis, is frequent in patients who decompensate with abrupt cardiac arrest without preceding signs of septic shock, respiratory failure or severe metabolic disorders shortly after hospitalization. The contribution of pre-existing infection on pre and post cardiac arrest events remains unknown and has not been studied in a prospective fashion. We sought to examine the incidence of pre-existing infection in out-of hospital cardiac arrest (OHCA) and assess characteristics associated with bacteremia, the goal standard for presence of infection.
Resuscitation.Resuscitation.2014 Feb;85(2):196-202. doi: 10.1016/j.resuscitation.2013.09.022. Epub 2013 Oct 12.
BACKGROUND: The most common etiology of cardiac arrest is presumed of myocardial origin. Recent retrospective studies indicate that preexisting pneumonia, a form of sepsis, is frequent in patients who decompensate with abrupt cardiac arrest without preceding signs of septic shock, respiratory failur
PMID 24128800

Japanese Journal

The Significance of Albumin Corrected Anion Gap in Patients with Cardiopulmonary Arrest

Hagiwara Shuichi,Oshima Kiyohiro,Furukawa Kazumi,Nakamura Takuro,Ohyama Yoshio,Tamura Jun-Ichi
Annals of Thoracic and Cardiovascular Surgery, 2012
… We compared acute physiology and chronic health evaluation (APACHE) II score, sequential organ failure assessment(SOFA) score, anion gap (AG) and ACAG levels between patients with/without ROSC and evaluated the significance of AG and ACAG to predict ROSC in patients with CPA.Results: Both AG and ACAG were significantly lower in patients with ROSC than in patients without ROSC. …
NAID 130002583824

Weight of the CURB-65 Criteria for Community-Acquired Pneumonia in a Very Low-Mortality-Rate Setting

Guo Qi,Li Hai-yan,Zhou Yi-ping,Li Ming,Chen Xiao-ke,Liu Hui,Peng Hong-lin,Yu Hai-qiong,Chen Xia,Liu Nian,Liang Li-hua,Zhao Qing-zhou,Jiang Mei
Internal Medicine 51(18), 2521-2527, 2012
… Objective The CURB-65 score is a simple well validated tool for the assessment of severity in community-acquired pneumonia (CAP). … Urea >7 mmol・L--1 was most strongly associated with the sequential organ failure assessment (SOFA) scores [rank correlation coefficient (rs), 0.352]. …
NAID 130002062399

Related Pictures

Hospitalist ~なんでも無い科医の勉強ノート~: ICU患者のSOFA scoreと Sofaスコア - sofaスコア（sequential organ failure assessment score） sofa 研修医マニュアル : 敗血症・敗血症性ショック Respiratory Critical Care and Sleep Medicine: November 2009 Hospitalist ~病院総合診療医~: ICU患者のSOFA scoreと死亡リスク Hospitalist ~なんでも無い科医の勉強ノート~: ICU患者のSOFA scoreと sofa score table | Organ system, Medical ultrasound, Anatomy images

★リンクテーブル★

リンク元	「多臓器不全評価スコア」
関連記事	「score」「scoring」

「多臓器不全評価スコア」

　　[★]

英: sequential organ failure assessment score, SOFA score
同: SOFAスコア

参考

1.

http://emccm.wordpress.com/2012/05/15/%E3%80%90mof%E3%80%91sofa%E3%82%B9%E3%82%B3%E3%82%A2%E3%81%AE%E7%B5%8C%E6%99%82%E5%A4%89%E5%8C%96/

2. Ferreira FL, Bota DP, Bross A, Mélot C, Vincent JL., Serial evaluation of the SOFA score to predict outcome in critically ill patients., JAMA. 2001 Oct 10;286(14):1754-8.

PMID 11594901