Ressources et utilitaires
Scoring systems for ICU and surgical patients:
SOFA (Sequential Organ Failure Assessment)
Respiration
PaO2/FiO2 (mmHg)
< 400 +/- respiratory support
< 300 +/- respiratory support
< 200 and respiratory support
< 100 and respiratory support
Coagulation
(Plat X 10^3/mm3)
< 150
< 100
< 50
< 20
Cardiovascular
(vasopressors in gamma/kg/min)
MAP < 70 mmHg
Dopa< or = 5 or Dobutamine
Dopa > 5 or Epi / Norepi<= 0.1
Dopa > 15 or Epi / Norepi > 0.1
Glasgow
(
Help
)
13-14
10-12
6-9
< 6
Liver
(bilirubin)
( mg/dL...........micromol/L)
1,2-1,9.....20-32
2,0-5,9.....33-101
6,0-11,9.....102-204
> 12..... > 204
Renal
(creatinine or urine output)
( mg/dL.....micromol/L)
1,2-1,9.....110-170
2,0-3,4.....171-299
3,5-4,9....300-440 or< 500 mL/day
> 5,0....... > 440 or< 200 mL/day
Total
SOFA=
Parameters are evaluated every day.
Reference:
Vincent JL et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction / failure.
Intensive Care Med.
1996;22:707-710
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Eyes Open
Verbal
Motor
Spontaneous
To Speech
To Pain
Absent
Converses / Oriented
Converses / Disoriented
Inappropriate
Incomprehensible
Absent
Obeys
Localizes pain
Withdraws (flexion)
Decorticate (flexion) rigidity
Decerebrate (extension) rigidity
Absent
Glasgow=
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