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SOFA Score Calculator

Calculate the Sequential Organ Failure Assessment (SOFA) score for ICU patients. SOFA assesses 6 organ systems (respiratory, coagulation, liver, cardiovascular, CNS, renal) on a 0-4 scale each. Total score 0-24.

Organ Dysfunction AssessmentUse the calculator below to check your health metrics

Why This Health Metric Matters

Why: Essential for sepsis diagnosis (Sepsis-3) and mortality prediction.

How: Score each organ 0-4; sum for total. SOFA โ‰ฅ 2 with infection = sepsis.

  • โ—6 organ systems
  • โ—0-4 each
  • โ—Total 0-24

๐Ÿ“‹ Quick Examples โ€” Click to Load

๐Ÿซ Respiration

๐Ÿฉธ Coagulation & Liver

โค๏ธ Cardiovascular

๐Ÿง  CNS & Renal

SOFA Score

0
No Organ Dysfunction (0-1)
Estimated mortality: Less than 10%
Respiration
0/4
Coagulation
0/4
Liver
0/4
Cardiovascular
0/4
CNS
0/4
Renal
0/4

๐Ÿ“Š SOFA Score Gauge

0/24

๐Ÿ“Š Organ System Scores

๐Ÿ“Š Mortality by SOFA Range

๐Ÿ“Š Organ Dysfunction Profile

Recommended Actions

โ€ขStandard ICU monitoring
โ€ขContinue supportive care
โ€ขReassess daily

โš ๏ธFor informational purposes only โ€” not medical advice. Consult a healthcare professional before acting on results.

๐Ÿฅ Health Facts

๐Ÿ“Š

6 organ systems, 0-4 each

โ€” Vincent 1996

๐Ÿฅ

Sepsis-3: SOFA โ‰ฅ 2

โ€” JAMA 2016

The Sequential Organ Failure Assessment (SOFA) score evaluates 6 organ systems (respiratory, coagulation, liver, cardiovascular, CNS, renal) on a 0-4 scale each. Total score 0-24. With Sepsis-3 (2016), SOFA became central to sepsis diagnosis: infection + SOFA โ‰ฅ 2 = sepsis. Mortality correlates strongly: SOFA 0-1 <10%, SOFA 15+ >80%.

6
Organ Systems
0-24
Score Range
โ‰ฅ2
Sepsis Threshold
>80%
SOFA 15+ Mortality

Sources: Vincent et al. 1996, Sepsis-3 Consensus 2016.

Key Takeaways

  • โ€ข SOFA assesses 6 organ systems: respiration, coagulation, liver, cardiovascular, CNS, renal
  • โ€ข Each organ scored 0-4; total 0-24. Higher = worse prognosis
  • โ€ข Sepsis-3: Infection + SOFA โ‰ฅ 2 = Sepsis. Septic shock = Sepsis + vasopressors + lactate > 2
  • โ€ข Daily SOFA trend more informative than single value

Did You Know?

๐Ÿฅ SOFA developed 1994 by European Society of Intensive Care Medicine
๐Ÿ“Š Sepsis-3 (2016) made SOFA central to sepsis diagnosis
๐Ÿซ Respiration uses PaO2/FiO2; mechanical ventilation affects scoring
๐Ÿฉธ Coagulation = platelets; Liver = bilirubin; Renal = creatinine + UO
โค๏ธ Cardiovascular = MAP + vasopressor requirement
๐Ÿง  CNS = Glasgow Coma Scale

How Does SOFA Work?

Organ Systems

Respiration (PaO2/FiO2), coagulation (platelets), liver (bilirubin), cardiovascular (MAP/vasopressors), CNS (GCS), renal (creatinine, urine output).

Scoring

Each organ 0-4: 0 = normal, 1-2 = mild-moderate, 3-4 = severe/failure. Sum for total.

Interpretation

SOFA โ‰ฅ 2 with infection = sepsis. Track daily for trajectory.

Expert Tips

Calculate SOFA on ICU admission and daily for trend.
Use qSOFA for rapid screening outside ICU; SOFA for confirmation.
SOFA โ‰ฅ 2 + suspected infection = initiate sepsis bundle.
Organ score โ‰ฅ 3 in any system = organ failure.

SOFA Score Reference

Score RangeClassificationMortality
0-1No Organ DysfunctionLess than 10%
2-6Mild Dysfunction15-20%
7-9Moderate Dysfunction30-40%
10-14Severe Dysfunction50-60%
15-24Critical DysfunctionGreater than 80%

Frequently Asked Questions

What is the SOFA score?

The Sequential Organ Failure Assessment (SOFA) evaluates 6 organ systems (respiratory, coagulation, liver, cardiovascular, CNS, renal) on a 0-4 scale each. Total score 0-24. Higher scores indicate worse organ dysfunction.

How is SOFA used for sepsis?

Per Sepsis-3, sepsis = suspected infection + SOFA โ‰ฅ 2 (or acute increase โ‰ฅ 2). Septic shock = sepsis + vasopressors required + lactate &gt; 2 mmol/L.

What does each SOFA organ score mean?

Each organ scored 0-4: 0 = normal, 1-2 = mild-moderate dysfunction, 3-4 = severe dysfunction/failure. Total 0-24.

When should SOFA be calculated?

On ICU admission and daily for trend. Also when sepsis is suspected outside ICU (after qSOFA screening).

What is SOFA mortality correlation?

SOFA 0-1: &lt;10% mortality. SOFA 2-6: 15-20%. SOFA 7-9: 30-40%. SOFA 10-14: 50-60%. SOFA 15+: &gt;80%.

How does SOFA differ from qSOFA?

SOFA requires labs and full assessment; used in ICU. qSOFA is 3 bedside criteria (RR, BP, mentation) for rapid screening outside ICU.

Key Statistics

6
Organ Systems
0-24
Score Range
โ‰ฅ2
Sepsis Threshold
>80%
SOFA 15+ Mortality

Official Data Sources

โš ๏ธ Disclaimer: This calculator is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

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