SOFA score in the assessment of multiple organ dysfunction in patients with Covid-19 in Intensive Care Unit
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Abstract
Objective: To analyze through the literature the association of Sequential Organ Failure Assessment (SOFA) with the assessment of multiple organ dysfunction and mortality in patients with Covid-19 in the Intensive Care Unit (ICU). Methods: Integrative review elaborated by means of a survey of articles published between the years 2020 to 2022 in the: LILACS, PubMed, Science Direct Electronic Library and SciELO databases. After the inclusion and exclusion criteria, 11 articles were selected. Results: This study addressed five prospective cohort studies, five retrospective studies and one case study, all carried out internationally. The main findings indicate that the SOFA model can be used accurately to identify the prognosis of patients with Covid-19, recognizing early the severity of the disease. patient with this pathology, as well as organ dysfunction. In addition, they infer that the higher the SOFA score, the worse the prognosis. of patients with Covid-19 in the ICU. Final considerations: The SOFA score is a good tool to predict mortality in the ICU, although the studies do not point to a standardization regarding the score. In addition, it can help guide ICU patient optimization and adapt management strategies in a resource-poor scenario such as the Covid-19 pandemic.
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