SOFA scoring: Difference between revisions
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|explanation=Discussed with Allan and decided to no longer consider making this change. Leaving discussion in case it ever comes back up again. | |||
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The SOFA score (Sepsis-related organ failure assessment score) assesses organ failure in ICU patients. It is relevant to us because it can be part of the definition of [[Severe sepsis]] | The SOFA score (Sepsis-related organ failure assessment score) assesses organ failure in ICU patients. It is relevant to us because it can be part of the definition of [[Severe sepsis]] | ||
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== Discussion - Is it feasible to use in our data collection setting? == | == Discussion - Is it feasible to use in our data collection setting? == | ||
'''SOFA SCORE feasibility of use in coding sepsis''' | '''SOFA SCORE feasibility of use in coding sepsis''' | ||
*Sepsis-3 guidelines are recommending a change in our definition of sepsis. In order to implement a change in the definitions we would need to implement the SOFA SCORE calculation or tool. | *Sepsis-3 guidelines are recommending a change in our definition of sepsis. In order to implement a change in the definitions we would need to implement the SOFA SCORE calculation or tool. | ||
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**7. Urine output: can be obtained on the ICU flow sheets but not available on EPR | **7. Urine output: can be obtained on the ICU flow sheets but not available on EPR | ||
*For Septic shock definition: Need the use of Vasopressors and a serum lactate of greater than 2, despite adequate volume resuscitation. Lactate levels are usually done for suspected sepsis but may not always be available. | *For Septic shock definition: Need the use of Vasopressors and a serum lactate of greater than 2, despite adequate volume resuscitation. Lactate levels are usually done for suspected sepsis but may not always be available. | ||
*I personally think the | *I personally think the definitions make more sense and would like to see this change in our practice. | ||
**(There would no longer be SIRS or severe sepsis. The only options are specific infections, sepsis or septic shock utilizing the new definitions). [[p:Laura Kolesar]] - Wednesday, February 14, 2018 7:51 AM. (as per email). | **(There would no longer be SIRS or severe sepsis. The only options are specific infections, sepsis or septic shock utilizing the new definitions). [[p:Laura Kolesar]] - Wednesday, February 14, 2018 7:51 AM. (as per email). | ||
==Other Literature Reference== | ==Other Literature Reference== | ||
[https://jamanetwork.com/journals/jama/fullarticle/2492875 | [https://jamanetwork.com/journals/jama/fullarticle/2492875 Assessment of Clinical Criteria for Sepsis for the Third International Consensus Definitions for Sepsis and Septic Shock ] (Sepsis-3)-2016_Feb_23 | ||
== Related articles == | |||
{{Related Articles}} | |||
[[Category:Sepsis]] | |||
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