The Sequential Organ Failure Assessment (SOFA) Score: has the time come for an update?

Crit Care. 2023 Jan 13;27(1):15. doi: 10.1186/s13054-022-04290-9.


The Sequential Organ Failure Assessment (SOFA) score was developed more than 25 years ago to provide a simple method of assessing and monitoring organ dysfunction in critically ill patients. Changes in clinical practice over the last few decades, with new interventions and a greater focus on non-invasive monitoring systems, mean it is time to update the SOFA score. As a first step in this process, we propose some possible new variables that could be included in a SOFA 2.0. By so doing, we hope to stimulate debate and discussion to move toward a new, properly validated score that will be fit for modern practice.

Publication types

  • Review

MeSH terms

  • Critical Illness* / therapy
  • Humans
  • Multiple Organ Failure / diagnosis
  • Organ Dysfunction Scores*
  • Prognosis