序贯器官衰竭评估 (SOFA) 评分：是否到了更新的时候？
The Sequential Organ Failure Assessment (SOFA) Score: has the time come for an update?
机构信息
Hospital de São José, Centro Hospitalar Universitário de Lisboa Central, Faculdade de Ciências Médicas de Lisboa, Nova Médical School, Lisbon, Portugal.
Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal.
出版信息
Crit Care. 2023 Jan 13;27(1):15. doi: 10.1186/s13054-022-04290-9.
Abstract
The Sequential Organ Failure Assessment (SOFA) score was developed more than 25 years ago to provide a simple method of assessing and monitoring organ dysfunction in critically ill patients. Changes in clinical practice over the last few decades, with new interventions and a greater focus on non-invasive monitoring systems, mean it is time to update the SOFA score. As a first step in this process, we propose some possible new variables that could be included in a SOFA 2.0. By so doing, we hope to stimulate debate and discussion to move toward a new, properly validated score that will be fit for modern practice.
摘要
序贯器官衰竭评估（SOFA）评分系统于 25 年前开发，旨在为危重症患者的器官功能障碍评估和监测提供一种简单的方法。过去几十年间，临床实践发生了变化，新的干预措施和对非侵入性监测系统的关注增加，这意味着现在是时候更新 SOFA 评分了。作为这一过程的第一步，我们提出了一些可能包含在 SOFA 2.0 中的新变量。通过这样做，我们希望能够激发讨论和辩论，以制定一个新的、经过适当验证的评分系统，使其适用于现代临床实践。
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