MDCalc

Modified Sequential Organ Failure Assessment (mSOFA) Score

Predicts ICU mortality using mostly clinical variables and fewer labs (similar to SOFA Score).

Launched during COVID-19 crisis.

Respiratory

SpO₂/FiO₂

See Evidence for estimating FiO₂ from oxygen flow/delivery rates

Liver

Scleral icterus or jaundice present

Cardiovascular

Hypotension

Based on mean arterial pressure OR administration of vasoactive agents in mcg/kg/min

CNS

Note: "Best"/highest GCS in 24 hr period recommended

Renal

Creatinine, mg/dL

Result:

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Advice

Understanding goals of care is critically important in all patients, especially those with critical illness. Understanding that a patient has a high risk of mortality may be helpful to the treating medical team as well as to the patient in order to make decisions about their own treatment plan.