{"id":2207,"date":"2026-10-15T02:50:59","date_gmt":"2026-10-15T01:50:59","guid":{"rendered":"https:\/\/wpcalc.com\/pt\/medicos\/calculadora-escore-sofa\/"},"modified":"2026-10-15T02:50:59","modified_gmt":"2026-10-15T01:50:59","slug":"calculadora-escore-sofa","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/pt\/medicos\/calculadora-escore-sofa\/","title":{"rendered":"Calculadora de escore 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\">Pontue os seis sistemas org\u00e2nicos da Avalia\u00e7\u00e3o Sequencial de Fal\u00eancia de \u00d3rg\u00e3os<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"2207\" data-favorite-title=\"Escore SOFA\" data-favorite-url=\"https:\/\/wpcalc.com\/pt\/medicos\/calculadora-escore-sofa\/\" data-favorite-excerpt=\"Calcule o escore SOFA a partir da rela\u00e7\u00e3o PaO\u2082\/FiO\u2082, plaquetas, bilirrubina, suporte da press\u00e3o arterial, Glasgow, creatinina e diurese. Informe seus valores laboratoriais e a categoria de vasopressores para obter o total e a pontua\u00e7\u00e3o por \u00f3rg\u00e3o.\" aria-label=\"Adicionar aos favoritos\" 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\/pt\/medicos\/calculadora-escore-sofa\/\" method=\"POST\" class=\"calculator\" id=\"calculator-2207\" data-post=\"2207\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Campos de entrada<\/legend><div class=\"is-single field\" id=\"input-1\"><span class=\"font-semibold\">Respira\u00e7\u00e3o (oxigena\u00e7\u00e3o)<\/span><\/div><div class=\"field has-term\" id=\"input-2\"><label for=\"field-2\">PaO\u2082 arterial<\/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_arterial\" 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=\"unidade\" aria-label=\"Unidade\"><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\">Press\u00e3o parcial de oxig\u00eanio no sangue arterial<\/small><\/div><div class=\"field has-term\" id=\"input-3\"><label for=\"field-4\">Oxig\u00eanio inspirado (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=\"oxignio_inspirado_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\">Ar ambiente = 21; um valor entre 0 e 1 \u00e9 interpretado como fra\u00e7\u00e3o<\/small><\/div><div class=\"field is-checkbox\" id=\"input-4\"><input type=\"checkbox\" id=\"field-5\" value=\"1\"\/><label for=\"field-5\">Ventila\u00e7\u00e3o mec\u00e2nica \/ suporte respirat\u00f3rio<\/label><\/div><div class=\"is-single field\" id=\"input-5\"><span class=\"font-semibold\">Coagula\u00e7\u00e3o<\/span><\/div><div class=\"field has-term\" id=\"input-6\"><label for=\"field-7\">Contagem de plaquetas<\/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=\"contagem_de_plaquetas\" 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\">F\u00edgado (bilirrubina)<\/span><\/div><div class=\"field has-term\" id=\"input-8\"><label for=\"field-9\">Bilirrubina total<\/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=\"bilirrubina_total\" 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\"><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\">Bilirrubina total s\u00e9rica<\/small><\/div><div class=\"is-single field\" id=\"input-9\"><span class=\"font-semibold\">Cardiovascular (suporte da press\u00e3o arterial)<\/span><\/div><div class=\"field\" id=\"input-10\"><label for=\"field-12\">Suporte da press\u00e3o arterial \/ vasopressores<\/label><div class=\"grid grid-cols-1\"><select id=\"field-12\" name=\"suporte_da_presso_arterial_vasopressores\"><option value=\"MAP \u2265 70 mmHg \u2014 no vasopressors\">PAM \u2265 70 mmHg \u2014 sem vasopressores<\/option><option value=\"MAP &lt; 70 mmHg\">PAM &lt; 70 mmHg<\/option><option value=\"Dopamine \u2264 5 or dobutamine (any dose)\">Dopamina \u2264 5 ou dobutamina (qualquer dose)<\/option><option value=\"Dopamine &gt; 5, epinephrine \u2264 0.1, or norepinephrine \u2264 0.1\">Dopamina &gt; 5, epinefrina \u2264 0,1 ou norepinefrina \u2264 0,1<\/option><option value=\"Dopamine &gt; 15, epinephrine &gt; 0.1, or norepinephrine &gt; 0.1\">Dopamina &gt; 15, epinefrina &gt; 0,1 ou norepinefrina &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\">Sistema nervoso central<\/span><\/div><div class=\"field has-term\" id=\"input-12\"><label for=\"field-14\">Escala de coma 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=\"escala_de_coma_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\">Renal (creatinina ou d\u00e9bito urin\u00e1rio)<\/span><\/div><div class=\"field has-term\" id=\"input-14\"><label for=\"field-16\">Creatinina<\/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=\"creatinina\" 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=\"unidade\" aria-label=\"Unidade\"><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\">Creatinina s\u00e9rica<\/small><\/div><div class=\"field\" id=\"input-15\"><label for=\"field-18\">D\u00e9bito urin\u00e1rio<\/label><div class=\"grid grid-cols-1\"><select id=\"field-18\" name=\"dbito_urinrio\"><option value=\"0\">\u2265 500 mL\/dia (ou n\u00e3o medido)<\/option><option value=\"3\">&lt; 500 mL\/dia<\/option><option value=\"4\">&lt; 200 mL\/dia<\/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=\"Recalcular\" id=\"calculate-button\" data-post=\"2207\">Calcular<\/button><button type=\"reset\">Redefinir<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Calcular automaticamente<\/label><small>Se ativado, o resultado \u00e9 atualizado automaticamente quando voc\u00ea altera qualquer valor.<\/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> Sua pontua\u00e7\u00e3o SOFA<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>Pontua\u00e7\u00e3o respirat\u00f3ria<\/span><span class=\"result-term\">Resp<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copiar resultado\" aria-label=\"Copiar resultado\"><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>Pontua\u00e7\u00e3o de coagula\u00e7\u00e3o<\/span><span class=\"result-term\">Coag<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copiar resultado\" aria-label=\"Copiar resultado\"><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>Pontua\u00e7\u00e3o hep\u00e1tica<\/span><span class=\"result-term\">Hepatic<\/span><\/span><span class=\"field-value\" id=\"result-3\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copiar resultado\" aria-label=\"Copiar resultado\"><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>Pontua\u00e7\u00e3o cardiovascular<\/span><span class=\"result-term\">CV<\/span><\/span><span class=\"field-value\" id=\"result-4\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copiar resultado\" aria-label=\"Copiar resultado\"><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>Pontua\u00e7\u00e3o do SNC<\/span><span class=\"result-term\">CNS<\/span><\/span><span class=\"field-value\" id=\"result-5\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copiar resultado\" aria-label=\"Copiar resultado\"><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>Pontua\u00e7\u00e3o renal<\/span><span class=\"result-term\">Renal<\/span><\/span><span class=\"field-value\" id=\"result-6\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copiar resultado\" aria-label=\"Copiar resultado\"><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>Pontua\u00e7\u00e3o SOFA total<\/span><span class=\"result-term\">SOFA<\/span><\/span><span class=\"field-value\" id=\"result-7\" data-unit=\"pontos\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copiar resultado\" aria-label=\"Copiar resultado\"><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>O que sua pontua\u00e7\u00e3o significa<\/span><\/span><span class=\"field-value\" id=\"result-8\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copiar resultado\" aria-label=\"Copiar resultado\"><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\">Copiar link para este c\u00e1lculo<\/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>Deixar um coment\u00e1rio<\/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=\"2207\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">O que voc\u00ea achou deste resultado?<\/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\">Curti <\/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\">\u00datil <\/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\">Confuso <\/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\">Decepcionado <\/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\">Impreciso <\/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>F\u00f3rmula do escore SOFA<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">F\u00f3rmula<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{SOFA} = \\text{Resp} + \\text{Coag} + \\text{Hep} + \\text{CV} + \\text{SNC} + \\text{Ren} \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Onde:<\/strong><\/p>\n<ul>\n<li>\\(\\text{Resp}\\) \u2014 escore respirat\u00f3rio, baseado na rela\u00e7\u00e3o PaO\u2082\/FiO\u2082 (mmHg)<\/li>\n<li>\\(\\text{Coag}\\) \u2014 escore de coagula\u00e7\u00e3o, baseado na contagem de plaquetas (\u00d710\u00b3\/\u00b5L)<\/li>\n<li>\\(\\text{Hep}\\) \u2014 escore hep\u00e1tico, baseado na bilirrubina total (mg\/dL)<\/li>\n<li>\\(\\text{CV}\\) \u2014 escore cardiovascular, baseado na press\u00e3o arterial m\u00e9dia e nas doses de vasopressores<\/li>\n<li>\\(\\text{SNC}\\) \u2014 escore do sistema nervoso central, baseado na Escala de Coma de Glasgow<\/li>\n<li>\\(\\text{Ren}\\) \u2014 escore renal, baseado na creatinina (mg\/dL) ou no volume urin\u00e1rio, o que for pior<\/li>\n<\/ul>\n<p>Cada sistema org\u00e2nico \u00e9 graduado de 0 (fun\u00e7\u00e3o normal) a 4 (disfun\u00e7\u00e3o grave), de modo que o escore SOFA total varia de 0 a 24 pontos. Quanto maior o total, mais grave \u00e9 a disfun\u00e7\u00e3o de \u00f3rg\u00e3os.<\/p>\n<p>Os limiares de gradua\u00e7\u00e3o s\u00e3o:<\/p>\n<ul>\n<li><strong>Respira\u00e7\u00e3o (PaO\u2082\/FiO\u2082, mmHg):<\/strong> \u2265400 = 0; &lt;400 = 1; &lt;300 = 2; &lt;200 com suporte respirat\u00f3rio = 3; &lt;100 com suporte respirat\u00f3rio = 4<\/li>\n<li><strong>Coagula\u00e7\u00e3o (plaquetas \u00d710\u00b3\/\u00b5L):<\/strong> \u2265150 = 0; &lt;150 = 1; &lt;100 = 2; &lt;50 = 3; &lt;20 = 4<\/li>\n<li><strong>F\u00edgado (bilirrubina, mg\/dL):<\/strong> &lt;1,2 = 0; 1,2\u20131,9 = 1; 2,0\u20135,9 = 2; 6,0\u201311,9 = 3; \u226512,0 = 4<\/li>\n<li><strong>Cardiovascular:<\/strong> PAM \u226570 mmHg sem vasopressores = 0; PAM &lt;70 mmHg = 1; dopamina \u22645 ou dobutamina (qualquer dose) = 2; dopamina &gt;5, epinefrina \u22640,1 ou norepinefrina \u22640,1 \u00b5g\/kg\/min = 3; dopamina &gt;15, epinefrina &gt;0,1 ou norepinefrina &gt;0,1 \u00b5g\/kg\/min = 4<\/li>\n<li><strong>SNC (Escala de Coma de Glasgow):<\/strong> 15 = 0; 13\u201314 = 1; 10\u201312 = 2; 6\u20139 = 3; &lt;6 = 4<\/li>\n<li><strong>Renal (creatinina, mg\/dL, ou volume urin\u00e1rio):<\/strong> &lt;1,2 = 0; 1,2\u20131,9 = 1; 2,0\u20133,4 = 2; 3,5\u20134,9 ou diurese &lt;500 mL\/dia = 3; \u22655,0 ou diurese &lt;200 mL\/dia = 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>Escore SOFA \u2013 Exemplo de c\u00e1lculo<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>Exemplo:<\/strong> um paciente de UTI sob suporte respirat\u00f3rio n\u00e3o invasivo com FiO\u2082 de 40% apresenta PaO\u2082 de 120 mmHg. Plaquetas de 95 \u00d710\u00b3\/\u00b5L, bilirrubina total de 2,5 mg\/dL, creatinina de 2,2 mg\/dL, diurese \u2265500 mL\/dia e Glasgow 13. O paciente recebe norepinefrina a 0,08 \u00b5g\/kg\/min.<\/p>\n<p>\\[ \\text{PaO}_2\/\\text{FiO}_2 = 120 \/ 0.40 = 300 \\implies \\text{Resp} = 1 \\]<\/p>\n<p>\\[ \\text{PLT} = 95 \\implies \\text{Coag} = 2, \\quad \\text{Bili} = 2.5 \\implies \\text{Hep} = 2 \\]<\/p>\n<p>\\[ \\text{norepinefrina} \\le 0.1 \\implies \\text{CV} = 3, \\quad \\text{GCS} = 13 \\implies \\text{SNC} = 1 \\]<\/p>\n<p>\\[ \\text{Cr} = 2.2 \\implies \\text{Ren} = 2 \\]<\/p>\n<p>\\[ \\text{SOFA} = 1 + 2 + 2 + 3 + 1 + 2 = 11 \\]<\/p>\n<p><strong>Resultado:<\/strong> escore SOFA = 11 de 24 pontos, faixa em que a mortalidade hospitalar relatada gira em torno de 40\u201350%.<\/p>\n<p>\n\r\n<\/section>\n<h2>Como usar a calculadora<\/h2>\n<ol>\n<li>Digite o valor da <strong>PaO\u2082 arterial<\/strong> e selecione a unidade (mmHg ou kPa); a convers\u00e3o \u00e9 feita automaticamente.<\/li>\n<li>Informe a <strong>fra\u00e7\u00e3o de oxig\u00eanio inspirado (FiO\u2082)<\/strong> em porcentagem (ar ambiente = 21). Um valor entre 0 e 1, como 0,4, \u00e9 interpretado como fra\u00e7\u00e3o.<\/li>\n<li>Marque <strong>Ventila\u00e7\u00e3o mec\u00e2nica \/ suporte respirat\u00f3rio<\/strong> se o paciente recebe qualquer forma de suporte respirat\u00f3rio. Os graus 3\u20134 de respira\u00e7\u00e3o no SOFA exigem formalmente esse suporte.<\/li>\n<li>Digite a <strong>contagem de plaquetas<\/strong> em \u00d710\u00b3\/\u00b5L (por exemplo, 95 para 95.000\/\u00b5L).<\/li>\n<li>Informe a <strong>bilirrubina total<\/strong> e escolha a unidade (mg\/dL ou \u00b5mol\/L).<\/li>\n<li>Selecione a op\u00e7\u00e3o correspondente em <strong>Suporte da press\u00e3o arterial \/ vasopressores<\/strong>, de acordo com a press\u00e3o arterial m\u00e9dia e as doses de vasopressores em \u00b5g\/kg\/min.<\/li>\n<li>Digite a <strong>Escala de Coma de Glasgow<\/strong> (3\u201315). Se precisar de ajuda para pontu\u00e1-la, veja nossa <a href=\"https:\/\/wpcalc.com\/pt\/medicos\/escala-de-coma-de-glasgow\/\">calculadora da Escala de Coma de Glasgow<\/a>.<\/li>\n<li>Digite o valor da <strong>creatinina<\/strong> com sua unidade e selecione a categoria de <strong>diurese<\/strong>. O escore renal corresponde ao pior dos dois crit\u00e9rios.<\/li>\n<\/ol>\n<p>O painel de resultados mostra cada subescore por \u00f3rg\u00e3o, o escore SOFA total e uma interpreta\u00e7\u00e3o com a rela\u00e7\u00e3o PaO\u2082\/FiO\u2082 e os valores convertidos realmente utilizados.<\/p>\n<h2>O que \u00e9 o escore SOFA?<\/h2>\n<p>O escore SOFA (Sequential Organ Failure Assessment, ou Avalia\u00e7\u00e3o Sequencial de Disfun\u00e7\u00e3o de \u00d3rg\u00e3os) quantifica a gravidade da disfun\u00e7\u00e3o de \u00f3rg\u00e3os em pacientes gravemente doentes em seis sistemas: respirat\u00f3rio, coagula\u00e7\u00e3o, f\u00edgado, cardiovascular, sistema nervoso central e rins. Foi proposto por Vincent et al. em 1996 para descrever a morbidade em popula\u00e7\u00f5es de UTI de forma reprodut\u00edvel e repet\u00edvel, usando medidas simples \u00e0 beira do leito e exames laboratoriais de rotina.<\/p>\n<p>Cada \u00f3rg\u00e3o recebe de 0 a 4 pontos, totalizando de 0 a 24. Um escore 0 indica fun\u00e7\u00e3o org\u00e2nica normal; subescores mais altos indicam fal\u00eancia progressivamente mais grave daquele \u00f3rg\u00e3o. O total \u00e9 mais informativo quando acompanhado ao longo do tempo: um escore SOFA em alta sugere piora da disfun\u00e7\u00e3o org\u00e2nica, enquanto um escore em queda sugere recupera\u00e7\u00e3o. Em estudos de UTI, a mortalidade hospitalar sobe de menos de 10% com escores de 0\u20136, para cerca de 15\u201320% com 7\u20139, 40\u201350% com 10\u201312, e acima de 50% quando se superam 12 pontos.<\/p>\n<p>O escore SOFA tamb\u00e9m \u00e9 pe\u00e7a central na defini\u00e7\u00e3o moderna de sepse. Pelos crit\u00e9rios da Sepse-3 (2016), uma infec\u00e7\u00e3o suspeita acompanhada de um aumento agudo de 2 ou mais pontos de SOFA em rela\u00e7\u00e3o \u00e0 linha de base indica sepse, e o choque s\u00e9ptico \u00e9 definido pela necessidade de vasopressores somada a um lactato acima de 2 mmol\/L apesar de reposi\u00e7\u00e3o vol\u00eamica adequada. Para triagem r\u00e1pida \u00e0 beira do leito fora da UTI, o <a href=\"https:\/\/wpcalc.com\/pt\/medicos\/calculadora-escore-qsofa\/\">escore qSOFA<\/a> usa apenas tr\u00eas dos componentes do SOFA; os antigos <a href=\"https:\/\/wpcalc.com\/pt\/medicos\/calculadora-criterios-sirs\/\">crit\u00e9rios SIRS<\/a> continuam sendo um gatilho alternativo de triagem.<\/p>\n<h2>Limita\u00e7\u00f5es e dicas pr\u00e1ticas<\/h2>\n<ul>\n<li>O escore SOFA foi desenvolvido para pacientes de UTI. Aplicado a popula\u00e7\u00f5es de enfermaria, pode subestimar o risco, porque muitos pacientes nunca desenvolvem disfun\u00e7\u00e3o org\u00e2nica mensur\u00e1vel nesse contexto.<\/li>\n<li>O escore descreve a fun\u00e7\u00e3o org\u00e2nica atual, n\u00e3o o progn\u00f3stico de um indiv\u00edduo. As taxas de mortalidade associadas \u00e0s faixas de escore s\u00e3o m\u00e9dias populacionais de estudos observacionais, n\u00e3o previs\u00f5es pessoais.<\/li>\n<li>Para o diagn\u00f3stico de sepse, importa mais a varia\u00e7\u00e3o em rela\u00e7\u00e3o \u00e0 linha de base do paciente (\u0394SOFA) do que um \u00fanico valor absoluto. Se a linha de base for desconhecida, costuma-se assumir 0 para pacientes da comunidade.<\/li>\n<li>O subescore renal considera o pior entre os crit\u00e9rios de creatinina e diurese; assim, uma diurese baixa pode elev\u00e1-lo mesmo quando a creatinina est\u00e1 apenas levemente aumentada.<\/li>\n<li>Os graus respirat\u00f3rios 3\u20134 exigem formalmente suporte respirat\u00f3rio (ventila\u00e7\u00e3o mec\u00e2nica ou ventila\u00e7\u00e3o n\u00e3o invasiva); a calculadora acrescenta uma observa\u00e7\u00e3o quando a rela\u00e7\u00e3o PaO\u2082\/FiO\u2082 cai abaixo de 200 sem o suporte marcado.<\/li>\n<li>Valores inseridos em kPa ou \u00b5mol\/L s\u00e3o convertidos internamente para mmHg e mg\/dL com fatores padr\u00e3o (1 kPa = 7,50062 mmHg; bilirrubina \u00b5mol\/L \u00f7 17,104; creatinina \u00b5mol\/L \u00f7 88,4).<\/li>\n<li>Ferramentas relacionadas: para a gravidade hep\u00e1tica espec\u00edfica na cirrose, veja o <a href=\"https:\/\/wpcalc.com\/pt\/medicos\/calculadora-escore-child-pugh\/\">escore Child-Pugh<\/a>; para a avalia\u00e7\u00e3o da fun\u00e7\u00e3o renal, a <a href=\"https:\/\/wpcalc.com\/pt\/medicos\/calculadora-tfge-ckd-epi-2021\/\">calculadora de TFGe (CKD-EPI 2021)<\/a>.<\/li>\n<li>Esta calculadora tem car\u00e1ter informativo e n\u00e3o substitui o julgamento cl\u00ednico nem um diagn\u00f3stico m\u00e9dico.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Calcule o escore SOFA a partir da rela\u00e7\u00e3o PaO\u2082\/FiO\u2082, plaquetas, bilirrubina, suporte da press\u00e3o arterial, Glasgow, creatinina e diurese. Informe seus valores laboratoriais e a categoria de vasopressores para obter o total e a pontua\u00e7\u00e3o por \u00f3rg\u00e3o.<\/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":[11],"tags":[33],"class_list":["post-2207","post","type-post","status-publish","format-standard","hentry","category-medicos","tag-diagnostico"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/posts\/2207","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/comments?post=2207"}],"version-history":[{"count":1,"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/posts\/2207\/revisions"}],"predecessor-version":[{"id":2787,"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/posts\/2207\/revisions\/2787"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/media?parent=2207"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/categories?post=2207"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/pt\/wp-json\/wp\/v2\/tags?post=2207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}