Why the Sequential Organ Failure Assessment score needs updating? - Critical Care Science (CCS)

Why the Sequential Organ Failure Assessment score needs updating? | The Sequential Organ Failure Assessment (SOFA) score was developed almost 30 years ago. It rapidly became one of the most widely used scoring systems in intensive care, both for clinical practice and research,^(,) and remains one of the most cited scores in our speciality. Since its original description, there have been substantial changes in clinical practice that SOFA now needs to address. Clinical management has changed, and new drugs and devices have been introduced. There is a greater emphasis on noninvasive support, such as noninvasive ventilation and high-flow nasal oxygen; a wider choice of cardiovascular drugs; and greater use of extracorporeal techniques, such as renal replacement therapy and extracorporeal membrane oxygenation (ECMO). For those reasons, we decided to update the score and make it more suitable for use with current management strategies, new drugs and new devices.⁽⁾ The score was designed to be easy to use and had to fulfill several guiding principles:⁽⁾ [...]