Modified Sequential Organ Failure Assessment (mSOFA) Score predicts ICU mortality using mostly clinical variables and fewer labs.
To determine level of organ dysfunction and mortality risk in ICU patients.
Can be used on all patients admitted to an intensive care unit. mSOFA score formula: Addition of the selected points: Variables and assigned points: Respiratory: Points SpO₂/FiO₂ (see table below for >400 0 estimating FiO₂ from oxygen >315 to ≤400 1 flow/delivery rates) >235 to ≤315 2 >150 to ≤235 3 ≤150 4 Liver: Scleral icterus or jaundice present No 0 Yes 3 Cardiovascular No hypotension 0 MAP <70 mmHg 1 Hypotension DOPamine ≤5 or 2 DOBUTamine (any dose) DOPamine >5, 3 EPINEPHrine ≤0.1, or norEPINEPHrine ≤0.1 DOPamine >15, 4 EPINEPHrine >0.1, or norEPINEPHrine >0.1 CNS GCS 15 0 13-14 1 10-12 2 6-9 3 <6 4 Renal <1.2 0 1.2-1.9 1 Creatinine, mg/dL 2.0-3.4 2 3.5-4.9 3 >5.0 4 Interpretation: mSOFA Score 0-7= 4% 30-day mortality mSOFA Score 8-11= 31% 30-day mortality mSOFA Score >11= 58% 30-day mortality
1. Grissom CK, Brown SM, Kuttler KG, Boltax JP, Jones J, Jephson AR, Orme JF Jr. A modified sequential organ failure assessment score for critical care triage. Disaster Med Public Health Prep. 2010 Dec;4(4):277-84. doi: 10.1001/dmp.2010.40. PMID: 21149228; PMCID: PMC3811929. 2. Rahmatinejad Z, Reihani H, Tohidinezhad F, Rahmatinejad F, Peyravi S, Pourmand A, Abu-Hanna A, Eslami S. Predictive performance of the SOFA and mSOFA scoring systems for predicting in-hospital mortality in the emergency department. Am J Emerg Med. 2019 Jul;37(7):1237-1241. doi: 10.1016/j.ajem.2018.09.011. Epub 2018 Sep 5. PMID: 30213476.
OBSERVATION.msofa.v0, EVALUATION.msofa_assessment.v0