1. Asstt. Prof. Medical ICU, 2. Assoc. Prof., Medical Unit II, 3. Asstt. Prof., Medical Unit II,   Civil Hospital Karachi 

ABSTRACT

Objective: To assess the efficacy of Sequential Organ Failure Assessment score (SOFA) as a determinant of outcome in critically ill medical patients.

Study Design: Prospective observational cohort study 

Place and Duration of Study: This study was conducted at Medical ICU of Civil Hospital Karachi from June 2014 to December 2014.

Materials and Methods: The study was conducted on 152 patients admitted in the Medical ICU. The SOFA score

Results: The overall ICU mortality rate was 35.5 % (n=54). Patients with an initial SOFA score of ≤ 9 had a mortality rate of 28.9%, while patients with an initial SOFA score of ≥ 10 had a mortality rate of 88.2 %. The SOFA scores at 48 and 72 hours also showed significant association with mortality. The mortality rates of patients having a score of ≤9 at 48 and 72 hours were 25.6% and 20% respectively while the mortality rates of those with a score of when the score decreased and 23.3% when it did not change.

Conclusion: The serial evaluation of SOFA score proved to be a convenient and efficient tool to predict mortality in the critically ill ICU patients.

Key Words: SOFA score, ICU mortality, Outcome

Citation of article: Faraz A, Alam MT, Haroon MH. Sequential Organ Failure Assessment (SOFA) Score as a Predictor of Outcome in Patients Admitted in a Medical ICU. Med Forum 2015;26(11):56-60.