Sequential Organ Failure Assesment 𝗦𝗒𝗙𝗔

𝗾𝗦𝗒𝗙𝗔 (Quick Sequential Organ Failure Assesment 𝗦𝗒𝗙𝗔 (Sequential Organ Failure Assessment Score:
-In the most recent update of the Surviving Sepsis campaign clinical guidelines published in 2016 there was a major transition in the way that sepsis was defined. Previous campaign used π—¦π—œπ—₯𝗦 criteria, to define sepsis in which the patient needed to have two out of four of the criteria present and a source of infection to be deemed to have sepsis. This definition was fraught with π—½π—Ώπ—Όπ—―π—Ήπ—²π—Ίπ˜€ as any noninfectious process that activated the inflammatory cascade could lead to a similar physiologic picture.
β€’Instead of using π—¦π—œπ—₯𝗦 criteria, sepsis was now defined as an increase in a patient’s sequential organ failure assessment (𝗦𝗒𝗙𝗔) score by 2 points from baseline (Table 4.6). Since the SOFA score can be cumbersome to calculate at bedside and requires laboratory test results, a simpler version was developed. The qSOFA (Table 4.7) can be calculated at a patient bedside by identifying tachypnea, altered mental status, and hypotension. If the patient meets two of these criteria and they are at risk for sepsis, further workup for an infectious source should be conducted.