■ Acute Physiology and Chronic Health Evaluation II (APACHE II) There are other clinical assessments that can be used in the evaluation of ICU patients: SOFA had a good performance in validation studies, showing a good correlation with the degree of dysfunction or organ failure in critically ill patients. On vasopressors, dopamine 5 µg/kg/min or Epi/Norepi 15 µg/kg/min or Epi/Norepi >0.1 µg/kg/min The following table introduces the number of points associated with each answer choice in the score: Variable / Points ■ Neurological (level of consciousness assessment though Glasgow coma scale). ■ Renal (glomerular filtration rate checked through creatinine) ■ Hepatic (evaluation of liver function through bilirubin) ■ Cardiovascular (checks hypo or hypertensive status through mean arterial pressure) ■ Respiratory (through partial oxygen pressure or fraction of inhaled O 2) The variables included in the score (chosen by the European Society of Intensive Care Medicine) should be analysed in terms of the worst value recorded in the past 24 hours.īecause each of the items in the tool reflects organ function in six different systems, each individual score can be used for further monitoring: SOFA is the acronym from Sequential Organ Failure Assessment. It offers information about morbidity severity as well and is calculated at admission to the intensive care unit and monitored every 24 hours until the patient is discharged. This score evaluates patient status based on clinical data in order to determine morality rate.
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