SOFA SCORING SYSTEM


SOFA scoring system is composed of scores from ——– organ systems


A. 3

B. 4

C. 5

D. 6



SOFA scoring system is composed of scores from six organ systems where each organ system is graded from —————- according to the degree of dysfunction


A. 0 to 3

B. 0 to 4

C. 0 to 5

D. 0 to 6



SOFA Scoring -Rising scores correlate well with


A. Increasing mortality

B. Need for Transfer of patient

C. Need for Transplantation

D. Need for Surgery



In the setting of suspected or documented infection increase of at least ——– points
in the SOFA score from baseline is considered diagnostic of sepsis.


A. 1

B. 2

C. 3

D. 4



All of the following are correct EXCEPT-

Patients with suspected infection can be predicted to have poor outcomes typical
of sepsis if they have at least two of the following clinical criteria:


A. Respiratory rate ≥22 breaths/min,

B. Altered mental status,

C. Systolic blood pressure >180 mmHg

D. All are correct



SOFA score is based on six different scores, one each for  all of the following EXCEPT-


A. Respiratory

B. Infections

C. Hepatic

D. Coagulation



Quick SOFA score (qSOFA) assists health care providers in estimating the risk of morbidity and mortality due to-


A. Hepatic failure

B. Organ Transplant

C. Ventilator Associated Pneumonia

D. Sepsis



In shorts


What is full form of SOFA Score?


Sequential organ failure assessment score is called SOFA score


What is the use of SOFA Score?


Track a person’s status during the stay in an intensive care unit (ICU)

Determine the extent of a person’s organ function or rate of failure.


SOFA Score

SOFA scoring system is useful in predicting the clinical outcomes of critically ill patients

Central nervous systemCardiovascular systemRespiratory systemCoagulationLiverRenal function
ScoreGlasgow coma scaleMean arterial pressure OR administration of vasopressors requiredPaO2/FiO2 [mmHg (kPa)]Platelets×103/μlBilirubin (mg/dl) [μmol/L]Creatinine (mg/dl) [μmol/L] (or urine output)
+015MAP ≥ 70 mmHg≥ 400 (53.3)≥ 150< 1.2 [< 20]< 1.2 [< 110]
+113–14MAP < 70 mmHg< 400 (53.3)< 1501.2–1.9 [20-32]1.2–1.9 [110-170]
+210–12dopamine ≤ 5 μg/kg/min or dobutamine (any dose)< 300 (40)< 1002.0–5.9 [33-101]2.0–3.4 [171-299]
+36–9dopamine > 5 μg/kg/min OR epinephrine ≤ 0.1 μg/kg/min OR norepinephrine ≤ 0.1 μg/kg/min< 200 (26.7) and mechanically ventilated including CPAP< 506.0–11.9 [102-204]3.5–4.9 [300-440] (or < 500 ml/day)
+4< 6dopamine > 15 μg/kg/min OR epinephrine > 0.1 μg/kg/min OR norepinephrine > 0.1 μg/kg/min< 100 (13.3) and mechanically ventilated including CPAP< 20> 12.0 [> 204]> 5.0 [> 440] (or < 200 ml/day)

AssessmentqSOFA score
Low blood pressure (SBP ≤ 100 mmHg)1
High respiratory rate (≥ 22 breaths/min)1
Altered mentation (GCS ≤ 14)1
Quick SOFA score

The score ranges from 0 to 3 points. The presence of 2 or more qSOFA points near the onset of infection was associated with a greater risk of death or prolonged intensive care unit stay. 

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