Jhang et al reported the extrarenal SOFA score for evaluating pediatric patients undergoing continuous renal replacement therapy. The authors are from Asan Medical Center Children's Hospital and University of Ulsan in Seoul, Korea.
Difference from the pediatric SOFA score: exclusion of renal component
|
Measure |
Finding |
Points |
|
PaO2 to FIO2 ratio |
>= 400 mm Hg |
0 |
|
|
300 – 399 mm Hg |
1 |
|
|
200 – 299 mm Hg |
2 |
|
|
100 – 199 mm Hg |
3 |
|
|
< 100 mm Hg |
4 |
|
platelet count |
>= 150,000 per µL |
0 |
|
|
100,000 to 149,999 per µL |
1 |
|
|
50,000 to 99,999 per µL |
2 |
|
|
20,000 to 49,999 per µL |
3 |
|
|
< 20,000 per µL |
4 |
|
serum bilirubin |
< 1.2 mg/dL |
0 |
|
|
1.2 – 1.9 mg/dL |
1 |
|
|
2.0 – 5.9 mg/dL |
2 |
|
|
6.0 – 11.9 mg/dL |
3 |
|
|
>= 12.0 mg/dL |
4 |
|
hypotension |
none |
0 |
|
|
systolic blood pressure less than 5th percentile for age |
1 |
|
|
dobutamine, any dose |
2 |
|
|
dopamine <= 5 µg per kg per min |
2 |
|
|
dopamine > 5 to 15 µg per kg per min |
3 |
|
|
dopamine > 15 µg per kg per min |
4 |
|
|
epinephrine <= 0.1 µg per kg per min |
3 |
|
|
epinephrine > 0.1 µg per kg per min |
4 |
|
|
norepinephrine <= 0.1 µg per kg per min |
3 |
|
|
norepinephrine > 0.1 µg per kg per min |
4 |
|
Glasgow coma score |
15 |
0 |
|
|
13 - 14 |
1 |
|
|
10 - 12 |
2 |
|
|
6 - 9 |
3 |
|
|
3 - 5 |
4 |
where:
• PaO2 is in mm Hg and FIO2 in percent from 0.21 to 1.00.
• Adrenergic agents as administered for at least 1 hour with doses in µg per kg per min.
• A score of 0 indicates normal and a score of 4 indicates most abnormal.
total SOFA score =
= SUM(points for all 5 measures)
Interpretation:
• minimum total score: 0
• maximum total score: 20
• The higher the organ score, the greater the organ dysfunction.
• The higher the total score, the greater the multiorgan dysfunction.
Specialty: Emergency Medicine, Critical Care, Pulmonology, Infectious Diseases
