{"id":5840,"date":"2026-10-15T04:48:00","date_gmt":"2026-10-15T01:48:00","guid":{"rendered":"https:\/\/wpcalc.com\/fr\/medical\/calculateur-score-sofa\/"},"modified":"2026-10-15T04:48:00","modified_gmt":"2026-10-15T01:48:00","slug":"calculateur-score-sofa","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/fr\/medical\/calculateur-score-sofa\/","title":{"rendered":"Calculateur du score SOFA"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">\u00c9valuez les six syst\u00e8mes d&#039;organes du score SOFA (Sequential Organ Failure Assessment)<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"5840\" data-favorite-title=\"Score SOFA\" data-favorite-url=\"https:\/\/wpcalc.com\/fr\/medical\/calculateur-score-sofa\/\" data-favorite-excerpt=\"Calculez le score SOFA \u00e0 partir du rapport PaO\u2082\/FiO\u2082, des plaquettes, de la bilirubine, du soutien h\u00e9modynamique, du score de Glasgow, de la cr\u00e9atinine et de la diur\u00e8se. Saisissez vos valeurs biologiques et la cat\u00e9gorie de vasopresseurs pour obtenir le total et le d\u00e9tail par organe.\" aria-label=\"Ajouter aux favoris\" data-favorite-icon=\"icon icon-flask\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/fr\/medical\/calculateur-score-sofa\/\" method=\"POST\" class=\"calculator\" id=\"calculator-5840\" data-post=\"5840\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Champs de saisie<\/legend><div class=\"is-single field\" id=\"input-1\"><span class=\"font-semibold\">Respiration (oxyg\u00e9nation)<\/span><\/div><div class=\"field has-term\" id=\"input-2\"><label for=\"field-2\">PaO\u2082 art\u00e9rielle<\/label><div class=\"term\">PaO\u2082<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><div class=\"field-group\"><input type=\"text\" name=\"pao_artrielle\" id=\"field-2\" aria-describedby=\"calc-info-2\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 120\" min=\"10\" max=\"700\" value=\"120\"\/><div class=\"grid grid-cols-1\"><select id=\"field-3\" name=\"unit\" aria-label=\"Unit\u00e9\"><option value=\"mmHg\" selected>mmHg<\/option><option value=\"kPa\">kPa<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><small id=\"calc-info-2\">Pression partielle d&#039;oxyg\u00e8ne dans le sang art\u00e9riel<\/small><\/div><div class=\"field has-term\" id=\"input-3\"><label for=\"field-4\">Oxyg\u00e8ne inspir\u00e9 (FiO\u2082)<\/label><div class=\"term\">FiO\u2082<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"oxygne_inspir_fio\" id=\"field-4\" aria-describedby=\"calc-unit-4 calc-info-4\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 40\" min=\"21\" max=\"100\" value=\"40\"\/><div class=\"unit\" id=\"calc-unit-4\">%<\/div><small id=\"calc-info-4\">Air ambiant = 21\u00a0; une valeur comprise entre 0 et 1 est interpr\u00e9t\u00e9e comme une fraction<\/small><\/div><div class=\"field is-checkbox\" id=\"input-4\"><input type=\"checkbox\" id=\"field-5\" value=\"1\"\/><label for=\"field-5\">Ventilation m\u00e9canique \/ assistance respiratoire<\/label><\/div><div class=\"is-single field\" id=\"input-5\"><span class=\"font-semibold\">Coagulation<\/span><\/div><div class=\"field has-term\" id=\"input-6\"><label for=\"field-7\">Num\u00e9ration plaquettaire<\/label><div class=\"term\">PLT<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"numration_plaquettaire\" id=\"field-7\" aria-describedby=\"calc-unit-7\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 95\" min=\"0\" max=\"2000\" value=\"95\"\/><div class=\"unit\" id=\"calc-unit-7\">\u00d710\u00b3\/\u00b5L<\/div><\/div><div class=\"is-single field\" id=\"input-7\"><span class=\"font-semibold\">Foie (bilirubine)<\/span><\/div><div class=\"field has-term\" id=\"input-8\"><label for=\"field-9\">Bilirubine totale<\/label><div class=\"term\">Bili<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><div class=\"field-group\"><input type=\"text\" name=\"bilirubine_totale\" id=\"field-9\" aria-describedby=\"calc-info-9\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 2.5\" min=\"0\" max=\"60\" value=\"2.5\"\/><div class=\"grid grid-cols-1\"><select id=\"field-10\" name=\"unit\" aria-label=\"Unit\u00e9\"><option value=\"mgdL\" selected>mg\/dL<\/option><option value=\"umolL\">\u00b5mol\/L<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><small id=\"calc-info-9\">Bilirubine totale s\u00e9rique<\/small><\/div><div class=\"is-single field\" id=\"input-9\"><span class=\"font-semibold\">Cardiovasculaire (support de la pression art\u00e9rielle)<\/span><\/div><div class=\"field\" id=\"input-10\"><label for=\"field-12\">Support de la pression art\u00e9rielle \/ vasopresseurs<\/label><div class=\"grid grid-cols-1\"><select id=\"field-12\" name=\"support_de_la_pression_artrielle_vasopresseurs\"><option value=\"MAP \u2265 70 mmHg \u2014 no vasopressors\">PAM \u2265 70 mmHg \u2014 pas de vasopresseurs<\/option><option value=\"MAP &lt; 70 mmHg\">PAM &lt; 70 mmHg<\/option><option value=\"Dopamine \u2264 5 or dobutamine (any dose)\">Dopamine \u2264 5 ou dobutamine (toute dose)<\/option><option value=\"Dopamine &gt; 5, epinephrine \u2264 0.1, or norepinephrine \u2264 0.1\">Dopamine &gt; 5, adr\u00e9naline \u2264 0,1 ou noradr\u00e9naline \u2264 0,1<\/option><option value=\"Dopamine &gt; 15, epinephrine &gt; 0.1, or norepinephrine &gt; 0.1\">Dopamine &gt; 15, adr\u00e9naline &gt; 0,1 ou noradr\u00e9naline &gt; 0,1<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"is-single field\" id=\"input-11\"><span class=\"font-semibold\">Syst\u00e8me nerveux central<\/span><\/div><div class=\"field has-term\" id=\"input-12\"><label for=\"field-14\">\u00c9chelle de Glasgow<\/label><div class=\"term\">GCS<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"chelle_de_glasgow\" id=\"field-14\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"3\u201315\" min=\"3\" max=\"15\" value=\"13\"\/><\/div><div class=\"is-single field\" id=\"input-13\"><span class=\"font-semibold\">Reins (cr\u00e9atinine ou diur\u00e8se)<\/span><\/div><div class=\"field has-term\" id=\"input-14\"><label for=\"field-16\">Cr\u00e9atinine<\/label><div class=\"term\">Cr<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><div class=\"field-group\"><input type=\"text\" name=\"cratinine\" id=\"field-16\" aria-describedby=\"calc-info-16\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 2.2\" min=\"0\" max=\"25\" value=\"2.2\"\/><div class=\"grid grid-cols-1\"><select id=\"field-17\" name=\"unit\" aria-label=\"Unit\u00e9\"><option value=\"mgdL\" selected>mg\/dL<\/option><option value=\"umolL\">\u00b5mol\/L<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><small id=\"calc-info-16\">Cr\u00e9atinin\u00e9mie<\/small><\/div><div class=\"field\" id=\"input-15\"><label for=\"field-18\">Diur\u00e8se<\/label><div class=\"grid grid-cols-1\"><select id=\"field-18\" name=\"diurse\"><option value=\"0\">\u2265 500 mL\/jour (ou non mesur\u00e9e)<\/option><option value=\"3\">&lt; 500 mL\/jour<\/option><option value=\"4\">&lt; 200 mL\/jour<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Recalculer\" id=\"calculate-button\" data-post=\"5840\">Calculer<\/button><button type=\"reset\">R\u00e9initialiser<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Calculer automatiquement<\/label><small>Si activ\u00e9, le r\u00e9sultat se met \u00e0 jour automatiquement d\u00e8s que vous modifiez une valeur.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> Votre score SOFA<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>Score respiratoire<\/span><span class=\"result-term\">Resp<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-2\"><span class=\"field-title\"><span>Score de coagulation<\/span><span class=\"result-term\">Coag<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-3\"><span class=\"field-title\"><span>Score h\u00e9patique<\/span><span class=\"result-term\">H\u00e9pat<\/span><\/span><span class=\"field-value\" id=\"result-3\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-4\"><span class=\"field-title\"><span>Score cardiovasculaire<\/span><span class=\"result-term\">CV<\/span><\/span><span class=\"field-value\" id=\"result-4\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-5\"><span class=\"field-title\"><span>Score du SNC<\/span><span class=\"result-term\">SNC<\/span><\/span><span class=\"field-value\" id=\"result-5\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-6\"><span class=\"field-title\"><span>Score r\u00e9nal<\/span><span class=\"result-term\">R\u00e9na<\/span><\/span><span class=\"field-value\" id=\"result-6\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-7\"><span class=\"field-title\"><span>Score SOFA total<\/span><span class=\"result-term\">SOFA<\/span><\/span><span class=\"field-value\" id=\"result-7\" data-unit=\"points\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-8\"><span class=\"field-title\"><span>Ce que signifie votre score<\/span><\/span><span class=\"field-value\" id=\"result-8\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Copier le lien vers ce calcul<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Laisser un commentaire<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"5840\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Que pensez-vous de ce r\u00e9sultat\u00a0?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">J\u2019aime <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Utile <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Confus <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">D\u00e9\u00e7u <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Inexact <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>Formule du score SOFA<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Formule<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{SOFA} = R + C + L + \\text{CV} + \\text{CNS} + K \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>O\u00f9\u00a0:<\/strong><\/p>\n<ul>\n<li>\\(R\\) \u2014 score respiratoire, fond\u00e9 sur le rapport PaO\u2082\/FiO\u2082 (mmHg)<\/li>\n<li>\\(C\\) \u2014 score de coagulation, fond\u00e9 sur la num\u00e9ration plaquettaire (\u00d710\u00b3\/\u00b5L)<\/li>\n<li>\\(L\\) \u2014 score h\u00e9patique, fond\u00e9 sur la bilirubine totale (mg\/dL)<\/li>\n<li>\\(\\text{CV}\\) \u2014 score cardiovasculaire, fond\u00e9 sur la pression art\u00e9rielle moyenne et les doses de vasopresseurs<\/li>\n<li>\\(\\text{CNS}\\) \u2014 score du syst\u00e8me nerveux central, fond\u00e9 sur le score de Glasgow<\/li>\n<li>\\(K\\) \u2014 score r\u00e9nal, fond\u00e9 sur la cr\u00e9atinine (mg\/dL) ou la diur\u00e8se, selon le crit\u00e8re le plus d\u00e9favorable<\/li>\n<\/ul>\n<p>Chaque syst\u00e8me d'organes est not\u00e9 de 0 (fonction normale) \u00e0 4 (d\u00e9faillance s\u00e9v\u00e8re)\u00a0; le score SOFA total va donc de 0 \u00e0 24 points. Plus le total est \u00e9lev\u00e9, plus la dysfonction d'organes est s\u00e9v\u00e8re.<\/p>\n<p>Les seuils de notation sont les suivants\u00a0:<\/p>\n<ul>\n<li><strong>Respiration (PaO\u2082\/FiO\u2082, mmHg)\u00a0:<\/strong> \u2265400 = 0\u00a0; &lt;400 = 1\u00a0; &lt;300 = 2\u00a0; &lt;200 avec assistance respiratoire = 3\u00a0; &lt;100 avec assistance respiratoire = 4<\/li>\n<li><strong>Coagulation (plaquettes \u00d710\u00b3\/\u00b5L)\u00a0:<\/strong> \u2265150 = 0\u00a0; &lt;150 = 1\u00a0; &lt;100 = 2\u00a0; &lt;50 = 3\u00a0; &lt;20 = 4<\/li>\n<li><strong>Foie (bilirubine, mg\/dL)\u00a0:<\/strong> &lt;1,2 = 0\u00a0; 1,2\u20131,9 = 1\u00a0; 2,0\u20135,9 = 2\u00a0; 6,0\u201311,9 = 3\u00a0; \u226512,0 = 4<\/li>\n<li><strong>Cardiovasculaire\u00a0:<\/strong> PAM \u226570 mmHg sans vasopresseur = 0\u00a0; PAM &lt;70 mmHg = 1\u00a0; dopamine \u22645 ou dobutamine (\u00e0 toute dose) = 2\u00a0; dopamine &gt;5, adr\u00e9naline \u22640,1 ou noradr\u00e9naline \u22640,1 \u00b5g\/kg\/min = 3\u00a0; dopamine &gt;15, adr\u00e9naline &gt;0,1 ou noradr\u00e9naline &gt;0,1 \u00b5g\/kg\/min = 4<\/li>\n<li><strong>Syst\u00e8me nerveux central (score de Glasgow)\u00a0:<\/strong> 15 = 0\u00a0; 13\u201314 = 1\u00a0; 10\u201312 = 2\u00a0; 6\u20139 = 3\u00a0; &lt;6 = 4<\/li>\n<li><strong>Rein (cr\u00e9atinine, mg\/dL, ou diur\u00e8se)\u00a0:<\/strong> &lt;1,2 = 0\u00a0; 1,2\u20131,9 = 1\u00a0; 2,0\u20133,4 = 2\u00a0; 3,5\u20134,9 ou diur\u00e8se &lt;500 mL\/jour = 3\u00a0; \u22655,0 ou diur\u00e8se &lt;200 mL\/jour = 4<\/li>\n<\/ul>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>Score SOFA \u2013 Exemple de calcul<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>Exemple\u00a0:<\/strong> un patient de r\u00e9animation sous assistance respiratoire non invasive, avec une FiO\u2082 \u00e0 40\u00a0%, a une PaO\u2082 de 120 mmHg. Plaquettes \u00e0 95 \u00d710\u00b3\/\u00b5L, bilirubine totale \u00e0 2,5 mg\/dL, cr\u00e9atinine \u00e0 2,2 mg\/dL, diur\u00e8se \u2265500 mL\/jour et score de Glasgow \u00e0 13. Le patient re\u00e7oit de la noradr\u00e9naline \u00e0 0,08 \u00b5g\/kg\/min.<\/p>\n<p>\\[ \\text{PaO}_2\/\\text{FiO}_2 = 120 \/ 0.40 = 300 \\implies R = 1 \\]<\/p>\n<p>\\[ \\text{PLT} = 95 \\implies C = 2, \\quad \\text{Bili} = 2.5 \\implies L = 2 \\]<\/p>\n<p>\\[ \\text{noradr\u00e9naline} \\le 0.1 \\implies \\text{CV} = 3, \\quad \\text{GCS} = 13 \\implies \\text{CNS} = 1 \\]<\/p>\n<p>\\[ \\text{Cr} = 2.2 \\implies K = 2 \\]<\/p>\n<p>\\[ \\text{SOFA} = 1 + 2 + 2 + 3 + 1 + 2 = 11 \\]<\/p>\n<p><strong>R\u00e9sultat\u00a0:<\/strong> score SOFA = 11 points sur 24, avec une mortalit\u00e9 hospitali\u00e8re rapport\u00e9e d'environ 40 \u00e0 50\u00a0% dans cette tranche.<\/p>\n<p>\n\r\n<\/section>\n<h2>Comment utiliser le calculateur<\/h2>\n<ol>\n<li>Saisissez la valeur de <strong>PaO\u2082 art\u00e9rielle<\/strong> et choisissez l'unit\u00e9, mmHg ou kPa\u00a0; la conversion se fait automatiquement.<\/li>\n<li>Saisissez la <strong>fraction d'oxyg\u00e8ne inspir\u00e9 (FiO\u2082)<\/strong> en pourcentage (air ambiant = 21). Une valeur comprise entre 0 et 1, comme 0,4, est interpr\u00e9t\u00e9e comme une fraction.<\/li>\n<li>Cochez <strong>Ventilation m\u00e9canique \/ assistance respiratoire<\/strong> si le patient b\u00e9n\u00e9ficie d'une quelconque forme d'assistance respiratoire. Les grades 3\u20134 de la composante respiratoire du SOFA la requi\u00e8rent formellement.<\/li>\n<li>Saisissez la <strong>num\u00e9ration plaquettaire<\/strong> en \u00d710\u00b3\/\u00b5L (par ex. 95 pour 95\u00a0000\/\u00b5L).<\/li>\n<li>Saisissez la <strong>bilirubine totale<\/strong> et choisissez mg\/dL ou \u00b5mol\/L.<\/li>\n<li>S\u00e9lectionnez l'option correspondante sous <strong>Soutien h\u00e9modynamique \/ vasopresseurs<\/strong>, selon la pression art\u00e9rielle moyenne et les doses de vasopresseurs en \u00b5g\/kg\/min.<\/li>\n<li>Saisissez le <strong>score de Glasgow<\/strong> (3\u201315). Si vous avez besoin d'aide pour l'\u00e9valuer, consultez notre <a href=\"https:\/\/wpcalc.com\/fr\/medical\/calculateur-score-de-glasgow\/\">calculateur de score de Glasgow<\/a>.<\/li>\n<li>Saisissez la <strong>cr\u00e9atinine<\/strong> avec son unit\u00e9, puis choisissez la cat\u00e9gorie de <strong>diur\u00e8se<\/strong>. Le score r\u00e9nal retient le plus d\u00e9favorable des deux crit\u00e8res.<\/li>\n<\/ol>\n<p>Le panneau des r\u00e9sultats affiche chaque sous-score par organe, le score SOFA total et une interpr\u00e9tation, avec le rapport PaO\u2082\/FiO\u2082 et les valeurs converties effectivement utilis\u00e9es.<\/p>\n<h2>Qu'est-ce que le score SOFA\u00a0?<\/h2>\n<p>Le score SOFA (Sequential Organ Failure Assessment) quantifie la s\u00e9v\u00e9rit\u00e9 de la dysfonction d'organes chez les patients de r\u00e9animation selon six syst\u00e8mes\u00a0: respiration, coagulation, foie, syst\u00e8me cardiovasculaire, syst\u00e8me nerveux central et reins. Il a \u00e9t\u00e9 introduit par Vincent et al. en 1996 pour d\u00e9crire la morbidit\u00e9 des patients de r\u00e9animation de fa\u00e7on reproductible et r\u00e9p\u00e9table, \u00e0 partir de mesures simples au lit du patient et d'examens biologiques de routine.<\/p>\n<p>Chaque organe est not\u00e9 de 0 \u00e0 4, pour un total de 0 \u00e0 24 points. Un score de 0 signifie une fonction d'organe normale\u00a0; plus le sous-score est \u00e9lev\u00e9, plus la d\u00e9faillance de l'organe concern\u00e9 est s\u00e9v\u00e8re. C'est l'\u00e9volution du total dans le temps qui est la plus informative\u00a0: une hausse du score SOFA traduit une aggravation de la dysfonction d'organes, une baisse une r\u00e9cup\u00e9ration. Dans les \u00e9tudes en r\u00e9animation, la mortalit\u00e9 hospitali\u00e8re passe de moins de 10\u00a0% pour des scores de 0\u20136, \u00e0 environ 15\u201320\u00a0% \u00e0 7\u20139, 40\u201350\u00a0% \u00e0 10\u201312, et au-del\u00e0 de 50\u00a0% au-dessus de 12 points.<\/p>\n<p>Le score SOFA occupe aussi une place centrale dans la d\u00e9finition moderne du sepsis. Selon les crit\u00e8res Sepsis-3 (2016), une infection suspect\u00e9e associ\u00e9e \u00e0 une \u00e9l\u00e9vation aigu\u00eb de 2 points ou plus du score SOFA par rapport \u00e0 sa valeur de base indique un sepsis, et le choc septique se d\u00e9finit par la n\u00e9cessit\u00e9 de vasopresseurs associ\u00e9e \u00e0 un lactate sup\u00e9rieur \u00e0 2 mmol\/L malgr\u00e9 une r\u00e9animation liquidienne ad\u00e9quate. Pour un d\u00e9pistage rapide au lit du patient en dehors de la r\u00e9animation, le <a href=\"https:\/\/wpcalc.com\/fr\/medical\/calculateur-score-qsofa\/\">score qSOFA<\/a> n'utilise que trois des composantes du SOFA\u00a0; les <a href=\"https:\/\/wpcalc.com\/en\/medical\/sirs-criteria-calculator\/\">crit\u00e8res SIRS<\/a>, plus anciens, restent un autre \u00e9l\u00e9ment d\u00e9clencheur de d\u00e9pistage.<\/p>\n<h2>Limites et conseils pratiques<\/h2>\n<ul>\n<li>Le score SOFA a \u00e9t\u00e9 con\u00e7u pour les patients de r\u00e9animation. Appliqu\u00e9 aux patients hospitalis\u00e9s en service conventionnel, il peut sous-estimer le risque, car beaucoup d'entre eux ne d\u00e9veloppent jamais de dysfonction d'organes mesurable.<\/li>\n<li>Le score d\u00e9crit la fonction des organes au moment pr\u00e9sent, pas le pronostic d'un patient donn\u00e9. Les taux de mortalit\u00e9 associ\u00e9s aux tranches de score sont des moyennes de population issues d'\u00e9tudes observationnelles, et non des pr\u00e9dictions individuelles.<\/li>\n<li>Pour le diagnostic de sepsis, c'est l'\u00e9cart par rapport \u00e0 la valeur de base du patient (\u0394SOFA) qui compte, plus qu'une valeur absolue isol\u00e9e. En l'absence de valeur de base connue, on consid\u00e8re souvent que les patients communautaires partent d'une base de 0.<\/li>\n<li>Le sous-score r\u00e9nal retient le plus d\u00e9favorable des crit\u00e8res cr\u00e9atinine et diur\u00e8se\u00a0: une diur\u00e8se faible peut donc l'\u00e9lever m\u00eame quand la cr\u00e9atinine n'est que mod\u00e9r\u00e9ment augment\u00e9e.<\/li>\n<li>Les grades respiratoires 3\u20134 requi\u00e8rent formellement une assistance respiratoire (ventilation m\u00e9canique ou non invasive)\u00a0; le calculateur ajoute une remarque lorsque votre rapport PaO\u2082\/FiO\u2082 descend sous 200 sans assistance coch\u00e9e.<\/li>\n<li>Les valeurs saisies en kPa ou en \u00b5mol\/L sont converties en interne en mmHg et en mg\/dL \u00e0 l'aide de facteurs standards (1 kPa = 7,50062 mmHg\u00a0; bilirubine \u00b5mol\/L \u00f7 17,104\u00a0; cr\u00e9atinine \u00b5mol\/L \u00f7 88,4).<\/li>\n<li>Outils associ\u00e9s\u00a0: pour \u00e9valuer la s\u00e9v\u00e9rit\u00e9 h\u00e9patique dans la cirrhose, voir le <a href=\"https:\/\/wpcalc.com\/fr\/medical\/calculateur-score-child-pugh\/\">score de Child-Pugh<\/a>, et pour l'\u00e9valuation de la fonction r\u00e9nale, le <a href=\"https:\/\/wpcalc.com\/fr\/medical\/calculateur-egfr-ckd-epi-2021\/\">calculateur de DFG (CKD-EPI 2021)<\/a>.<\/li>\n<li>Ce calculateur est fourni \u00e0 titre informatif et ne remplace ni le jugement clinique ni un diagnostic m\u00e9dical.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Calculez le score SOFA \u00e0 partir du rapport PaO\u2082\/FiO\u2082, des plaquettes, de la bilirubine, du soutien h\u00e9modynamique, du score de Glasgow, de la cr\u00e9atinine et de la diur\u00e8se. Saisissez vos valeurs biologiques et la cat\u00e9gorie de vasopresseurs pour obtenir le total et le d\u00e9tail par organe.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[30],"tags":[35],"class_list":["post-5840","post","type-post","status-publish","format-standard","hentry","category-medical","tag-diagnostics"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/posts\/5840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/comments?post=5840"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/posts\/5840\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/media?parent=5840"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/categories?post=5840"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/tags?post=5840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}