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? ==
{{DiscussTask | !Z decided to revisit 6 months after ICD10}}
 
'''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 definitions make more sense and would like to see this change in our practice.   
*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?resultClick=1 | Assessment of Clinical Criteria for Sepsis
[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
For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)-2016_Feb_23]
 
== Related articles ==
{{Related Articles}}




{{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}{{ICD10 category|Cardiovascular}}
[[Category:Sepsis]]
}}

Latest revision as of 14:29, 2022 February 9

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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

For more info see https://en.wikipedia.org/wiki/SOFA_score

Components

{