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Sequential Organ Failure Assessment Scoring in Assessing the Incidence and Severity of Organ Dysfunction in Sepsis

Sharath C.T., Senior Resident, Department of General Surgery, Oxford Medical College, Bengaluru, Karnataka 562107, India , E. Chinnaiaha , Sharath C.T.b

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New Indian Journal of Surgery 8(3):p 410-415, Jul-Sep 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.21

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Abstract

Introduction: The Sequential Organ Failure Assessment (SOFA) score is a simple and objective score that allows for calculation of both the number and the severity of organ dysfunction in six organ systems. It is a six-organ dysfunction score measuring multiple organ failure daily. Each organ is graded from 0 (normal) to 4 (the most abnormal).

Methodology: Patients which are included in the study are perforation peritonitis with Septicemia, Diabetic ulcer foot with gangrene, Necrotizing fascitis of limbs and abdomen, Burns, Mesenteric ischemia with bowel gangrene, Intestinal Obstruction, Carcinoma, Blunt injury abdomen with solid organ injury.

Results: SOFA score of 12 and above at 48 hours of admission shows an increase in the number of non survivors. The minimum SOFA score of the study population at 48 hours is 8. Among the 47 non survivors, 3 patients had these minimum score. Patients who had a score of 12 and above were 40.

Conclusion: So using SOFA scoring we can improve the overall prognosis and prevent the mortality to some extent.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.21

Keywords

SOFA; Sepsis; Organ Dysfunction. 

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