Evaluation of sequential organ failure assessment (SOFA) score as an indicator of 30 day mortality in patients with sepsis admitted in surgical ICU

Background: The existing study was conducted to find out the adequacy of sequential organ failure assessment (SOFA) score as predictor of mortality in sepsis patients in surgical ICU (SICU). Methods: 119 critically ill patients of age group 16 years and above with sepsis or septic shock admitted in SICU over a period of 18 months. The initial score, maximum score, the mean of first three days score and the mean of scores within the first week were assessed and correlated with mortality. Results: The maximum SOFA score was found to be (12.94 + 2.73), subsequently maximum score in survivors of (10.20 + 1.79) was lower than that in non-survivors (14.80 + 1.35). In the present study mean SOFA score also statistically correlated with mortality (p<0.01). Conclusion: It was observed that SOFA score is useful in predicting the mortality and morbidity in patients with sepsis. The early prediction of outcome in sepsis using SOFA score is a useful and economical tool to aid and plan the management strategies in ICU