{"id":4069,"date":"2026-10-15T02:49:21","date_gmt":"2026-10-15T01:49:21","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/tisbi\/sofa-skoru-hesaplama\/"},"modified":"2026-10-15T02:49:21","modified_gmt":"2026-10-15T01:49:21","slug":"sofa-skoru-hesaplama","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/sofa-skoru-hesaplama\/","title":{"rendered":"SOFA Skoru Hesaplama"},"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\">S\u0131ral\u0131 Organ Yetmezli\u011fi De\u011ferlendirmesi&#039;nin (SOFA) Alt\u0131 Organ Sistemini Puanlay\u0131n<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"4069\" data-favorite-title=\"SOFA Skoru\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/sofa-skoru-hesaplama\/\" data-favorite-excerpt=\"SOFA skorunu PaO\u2082\/FiO\u2082, trombosit, bilir\u00fcbin, kan bas\u0131nc\u0131 deste\u011fi, GKS, kreatinin ve idrar \u00e7\u0131k\u0131\u015f\u0131ndan hesaplay\u0131n. Laboratuvar de\u011ferlerinizi ve vazopress\u00f6r kategorinizi girin; toplam skoru ve organ baz\u0131nda d\u00f6k\u00fcm\u00fcn\u00fc g\u00f6r\u00fcn.\" aria-label=\"Favorilere ekle\" 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\/tr\/tisbi\/sofa-skoru-hesaplama\/\" method=\"POST\" class=\"calculator\" id=\"calculator-4069\" data-post=\"4069\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"is-single field\" id=\"input-1\"><span class=\"font-semibold\">Solunum (Oksijenasyon)<\/span><\/div><div class=\"field has-term\" id=\"input-2\"><label for=\"field-2\">Arteriyel PaO\u2082<\/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=\"arteriyel_pao\" 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=\"birim\" aria-label=\"Birim\"><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\">Arteriyel kandaki oksijenin parsiyel bas\u0131nc\u0131<\/small><\/div><div class=\"field has-term\" id=\"input-3\"><label for=\"field-4\">Solunan oksijen (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=\"solunan_oksijen_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\">Oda havas\u0131 = 21; 0 ile 1 aras\u0131ndaki bir de\u011fer kesir olarak kabul edilir<\/small><\/div><div class=\"field is-checkbox\" id=\"input-4\"><input type=\"checkbox\" id=\"field-5\" value=\"1\"\/><label for=\"field-5\">Mekanik ventilasyon \/ solunum deste\u011fi<\/label><\/div><div class=\"is-single field\" id=\"input-5\"><span class=\"font-semibold\">Koag\u00fclasyon<\/span><\/div><div class=\"field has-term\" id=\"input-6\"><label for=\"field-7\">Trombosit say\u0131s\u0131<\/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=\"trombosit_says\" 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\">Karaci\u011fer (Bilirubin)<\/span><\/div><div class=\"field has-term\" id=\"input-8\"><label for=\"field-9\">Total bilirubin<\/label><div class=\"term\">Bil<\/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=\"total_bilirubin\" 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=\"birim\" aria-label=\"Birim\"><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\">Serum total bilirubini<\/small><\/div><div class=\"is-single field\" id=\"input-9\"><span class=\"font-semibold\">Kardiyovask\u00fcler (Kan Bas\u0131nc\u0131 Deste\u011fi)<\/span><\/div><div class=\"field\" id=\"input-10\"><label for=\"field-12\">Kan bas\u0131nc\u0131 deste\u011fi \/ vazopress\u00f6rler<\/label><div class=\"grid grid-cols-1\"><select id=\"field-12\" name=\"kan_basnc_destei_vazopressrler\"><option value=\"MAP \u2265 70 mmHg \u2014 no vasopressors\">MAP \u2265 70 mmHg \u2014 vazopress\u00f6r yok<\/option><option value=\"MAP &lt; 70 mmHg\">MAP &lt; 70 mmHg<\/option><option value=\"Dopamine \u2264 5 or dobutamine (any dose)\">Dopamin \u2264 5 veya dobutamin (herhangi bir doz)<\/option><option value=\"Dopamine &gt; 5, epinephrine \u2264 0.1, or norepinephrine \u2264 0.1\">Dopamin &gt; 5, epinefrin \u2264 0,1 veya norepinefrin \u2264 0,1<\/option><option value=\"Dopamine &gt; 15, epinephrine &gt; 0.1, or norepinephrine &gt; 0.1\">Dopamin &gt; 15, epinefrin &gt; 0,1 veya norepinefrin &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\">Merkezi Sinir Sistemi<\/span><\/div><div class=\"field has-term\" id=\"input-12\"><label for=\"field-14\">Glasgow Koma Skalas\u0131<\/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=\"glasgow_koma_skalas\" 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\">B\u00f6brek (Kreatinin veya \u0130drar \u00c7\u0131k\u0131\u015f\u0131)<\/span><\/div><div class=\"field has-term\" id=\"input-14\"><label for=\"field-16\">Kreatinin<\/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=\"kreatinin\" 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=\"birim\" aria-label=\"Birim\"><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\">Serum kreatinini<\/small><\/div><div class=\"field\" id=\"input-15\"><label for=\"field-18\">\u0130drar \u00e7\u0131k\u0131\u015f\u0131<\/label><div class=\"grid grid-cols-1\"><select id=\"field-18\" name=\"drar_k\"><option value=\"0\">\u2265 500 mL\/g\u00fcn (veya \u00f6l\u00e7\u00fclmemi\u015f)<\/option><option value=\"3\">&lt; 500 mL\/g\u00fcn<\/option><option value=\"4\">&lt; 200 mL\/g\u00fcn<\/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=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"4069\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/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> SOFA Skorunuz<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>Solunum puan\u0131<\/span><span class=\"result-term\">Solun.<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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>Koag\u00fclasyon puan\u0131<\/span><span class=\"result-term\">Koag.<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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>Karaci\u011fer puan\u0131<\/span><span class=\"result-term\">Karac.<\/span><\/span><span class=\"field-value\" id=\"result-3\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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>Kardiyovask\u00fcler puan<\/span><span class=\"result-term\">KV<\/span><\/span><span class=\"field-value\" id=\"result-4\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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>MSS puan\u0131<\/span><span class=\"result-term\">MSS<\/span><\/span><span class=\"field-value\" id=\"result-5\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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>B\u00f6brek puan\u0131<\/span><span class=\"result-term\">B\u00f6brek<\/span><\/span><span class=\"field-value\" id=\"result-6\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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>Toplam SOFA skoru<\/span><span class=\"result-term\">SOFA<\/span><\/span><span class=\"field-value\" id=\"result-7\" data-unit=\"puan\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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>Skorunuzun anlam\u0131<\/span><\/span><span class=\"field-value\" id=\"result-8\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/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>Yorum b\u0131rak<\/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=\"4069\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/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\">Be\u011fendim <\/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\">Faydal\u0131 <\/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\">Kafam kar\u0131\u015ft\u0131 <\/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\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/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\">Hatal\u0131 <\/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>SOFA Skoru Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{SOFA} = R + C + L + \\text{KV} + \\text{MSS} + K \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>De\u011fi\u015fkenler:<\/strong><\/p>\n<ul>\n<li>\\(R\\) \u2014 solunum skoru; PaO\u2082\/FiO\u2082 oran\u0131na (mmHg) g\u00f6re belirlenir<\/li>\n<li>\\(C\\) \u2014 koag\u00fclasyon skoru; trombosit say\u0131s\u0131na (\u00d710\u00b3\/\u00b5L) g\u00f6re belirlenir<\/li>\n<li>\\(L\\) \u2014 karaci\u011fer skoru; total bilir\u00fcbine (mg\/dL) g\u00f6re belirlenir<\/li>\n<li>\\(\\text{KV}\\) \u2014 kardiyovask\u00fcler skor; ortalama arter bas\u0131nc\u0131na ve vazopress\u00f6r dozlar\u0131na g\u00f6re belirlenir<\/li>\n<li>\\(\\text{MSS}\\) \u2014 merkezi sinir sistemi skoru; Glasgow Koma Skalas\u0131na g\u00f6re belirlenir<\/li>\n<li>\\(K\\) \u2014 b\u00f6brek skoru; kreatinine (mg\/dL) veya idrar \u00e7\u0131k\u0131\u015f\u0131na g\u00f6re, hangisi k\u00f6t\u00fcyse ona g\u00f6re belirlenir<\/li>\n<\/ul>\n<p>Her organ sistemi 0 (normal i\u015flev) ile 4 (a\u011f\u0131r yetmezlik) aras\u0131nda puanlan\u0131r; bu nedenle toplam SOFA skoru 0 ile 24 puan aras\u0131nda de\u011fi\u015fir. Toplam puan y\u00fckseldik\u00e7e organ disfonksiyonunun a\u011f\u0131rl\u0131\u011f\u0131 artar.<\/p>\n<p>Puanlama e\u015fikleri \u015f\u00f6yledir:<\/p>\n<ul>\n<li><strong>Solunum (PaO\u2082\/FiO\u2082, mmHg):<\/strong> \u2265400 = 0; &lt;400 = 1; &lt;300 = 2; solunum deste\u011fiyle &lt;200 = 3; solunum deste\u011fiyle &lt;100 = 4<\/li>\n<li><strong>Koag\u00fclasyon (trombosit \u00d710\u00b3\/\u00b5L):<\/strong> \u2265150 = 0; &lt;150 = 1; &lt;100 = 2; &lt;50 = 3; &lt;20 = 4<\/li>\n<li><strong>Karaci\u011fer (bilir\u00fcbin, 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>Kardiyovask\u00fcler:<\/strong> vazopress\u00f6r kullan\u0131lmadan ortalama arter bas\u0131nc\u0131 (OAB) \u226570 mmHg = 0; OAB &lt;70 mmHg = 1; dopamin \u22645 veya dobutamin (herhangi bir dozda) = 2; dopamin &gt;5, epinefrin \u22640,1 veya norepinefrin \u22640,1 \u00b5g\/kg\/dk = 3; dopamin &gt;15, epinefrin &gt;0,1 veya norepinefrin &gt;0,1 \u00b5g\/kg\/dk = 4<\/li>\n<li><strong>MSS (Glasgow Koma Skalas\u0131):<\/strong> 15 = 0; 13\u201314 = 1; 10\u201312 = 2; 6\u20139 = 3; &lt;6 = 4<\/li>\n<li><strong>B\u00f6brek (kreatinin, mg\/dL, veya idrar \u00e7\u0131k\u0131\u015f\u0131):<\/strong> &lt;1,2 = 0; 1,2\u20131,9 = 1; 2,0\u20133,4 = 2; 3,5\u20134,9 veya idrar \u00e7\u0131k\u0131\u015f\u0131 &lt;500 mL\/g\u00fcn = 3; \u22655,0 veya idrar \u00e7\u0131k\u0131\u015f\u0131 &lt;200 mL\/g\u00fcn = 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>SOFA Skoru \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> noninvaziv solunum deste\u011fi alan ve FiO\u2082'si %40 olan bir yo\u011fun bak\u0131m hastas\u0131n\u0131n PaO\u2082 de\u011feri 120 mmHg. Trombosit say\u0131s\u0131 95 \u00d710\u00b3\/\u00b5L, total bilir\u00fcbin 2,5 mg\/dL, kreatinin 2,2 mg\/dL, idrar \u00e7\u0131k\u0131\u015f\u0131 \u2265500 mL\/g\u00fcn ve GKS 13. Hasta 0,08 \u00b5g\/kg\/dk dozunda norepinefrin al\u0131yor.<\/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{norepinefrin} \\le 0.1 \\implies \\text{KV} = 3, \\quad \\text{GKS} = 13 \\implies \\text{MSS} = 1 \\]<\/p>\n<p>\\[ \\text{Krea} = 2.2 \\implies K = 2 \\]<\/p>\n<p>\\[ \\text{SOFA} = 1 + 2 + 2 + 3 + 1 + 2 = 11 \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> SOFA skoru 24 puan\u0131n 11'i; bu aral\u0131kta bildirilen hastane mortalitesi kabaca %40\u201350 civar\u0131ndad\u0131r.<\/p>\n<p>\n\r\n<\/section>\n<h2>Hesaplay\u0131c\u0131 nas\u0131l kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li><strong>Arteriyel PaO\u2082<\/strong> de\u011ferini girin ve birim olarak mmHg veya kPa se\u00e7in; de\u011fer otomatik olarak d\u00f6n\u00fc\u015ft\u00fcr\u00fcl\u00fcr.<\/li>\n<li><strong>Solunan oksijeni (FiO\u2082)<\/strong> y\u00fczde olarak girin (oda havas\u0131 = 21). 0 ile 1 aras\u0131ndaki bir de\u011fer, \u00f6rne\u011fin 0,4, kesir olarak yorumlan\u0131r.<\/li>\n<li>Hasta herhangi bir bi\u00e7imde solunum deste\u011fi al\u0131yorsa <strong>Mekanik ventilasyon \/ solunum deste\u011fi<\/strong> kutucu\u011funu i\u015faretleyin. Solunumda 3\u20134 puan almak i\u00e7in bi\u00e7imsel olarak solunum deste\u011fi gerekir.<\/li>\n<li><strong>Trombosit say\u0131s\u0131n\u0131<\/strong> \u00d710\u00b3\/\u00b5L cinsinden girin (\u00f6rne\u011fin 95.000\/\u00b5L i\u00e7in 95).<\/li>\n<li><strong>Total bilir\u00fcbini<\/strong> girin ve mg\/dL veya \u00b5mol\/L se\u00e7in.<\/li>\n<li><strong>Kan bas\u0131nc\u0131 deste\u011fi \/ vazopress\u00f6rler<\/strong> ba\u015fl\u0131\u011f\u0131 alt\u0131nda, ortalama arter bas\u0131nc\u0131na ve \u00b5g\/kg\/dk cinsinden vazopress\u00f6r dozlar\u0131na uyan se\u00e7ene\u011fi i\u015faretleyin.<\/li>\n<li><strong>Glasgow Koma Skalas\u0131n\u0131<\/strong> (3\u201315) girin. Puanlamada yard\u0131ma ihtiyac\u0131n\u0131z varsa <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/glasgow-koma-skalasi-hesaplama\/\">Glasgow Koma Skalas\u0131 hesaplay\u0131c\u0131m\u0131za<\/a> bakabilirsiniz.<\/li>\n<li><strong>Kreatinin<\/strong> de\u011ferini birimiyle birlikte girin ve <strong>idrar \u00e7\u0131k\u0131\u015f\u0131<\/strong> kategorisini se\u00e7in. B\u00f6brek skoru, iki \u00f6l\u00e7\u00fctten k\u00f6t\u00fc olan\u0131na g\u00f6re belirlenir.<\/li>\n<\/ol>\n<p>Sonu\u00e7 panelinde her organ\u0131n alt skoru, toplam SOFA skoru ve fiilen kullan\u0131lan PaO\u2082\/FiO\u2082 oran\u0131 ile d\u00f6n\u00fc\u015ft\u00fcr\u00fclm\u00fc\u015f de\u011ferleri i\u00e7eren bir yorum yer al\u0131r.<\/p>\n<h2>SOFA skoru nedir?<\/h2>\n<p>S\u0131ral\u0131 Organ Yetmezli\u011fi De\u011ferlendirmesi (SOFA) skoru, kritik hastalarda solunum, koag\u00fclasyon, karaci\u011fer, kardiyovask\u00fcler sistem, merkezi sinir sistemi ve b\u00f6brekler olmak \u00fczere alt\u0131 sistemdeki organ disfonksiyonunun a\u011f\u0131rl\u0131\u011f\u0131n\u0131 say\u0131sal olarak ifade eder. Skor, 1996'da Vincent ve arkada\u015flar\u0131 taraf\u0131ndan, yo\u011fun bak\u0131m pop\u00fclasyonlar\u0131ndaki morbiditeyi yatak ba\u015f\u0131nda yap\u0131lan basit \u00f6l\u00e7\u00fcmler ve rutin laboratuvar de\u011ferleriyle tekrarlanabilir bi\u00e7imde tan\u0131mlamak amac\u0131yla ortaya kondu.<\/p>\n<p>Her organ 0\u20134 aras\u0131nda puanlan\u0131r ve toplam 0\u201324 puan olur. 0 puan normal organ i\u015flevi anlam\u0131na gelir; y\u00fckselen alt skorlar o organda giderek a\u011f\u0131rla\u015fan yetmezli\u011fe i\u015faret eder. Toplam puan as\u0131l bilgisini zaman i\u00e7inde izlendi\u011finde verir: y\u00fckselen SOFA skoru organ disfonksiyonunun k\u00f6t\u00fcle\u015fti\u011fini, d\u00fc\u015fen skor ise iyile\u015fmeyi d\u00fc\u015f\u00fcnd\u00fcr\u00fcr. Yo\u011fun bak\u0131m \u00e7al\u0131\u015fmalar\u0131nda hastane mortalitesi 0\u20136 puanda %10'un alt\u0131ndayken, 7\u20139 puanda yakla\u015f\u0131k %15\u201320'ye, 10\u201312 puanda %40\u201350'ye ve 12 puan\u0131n \u00fczerinde %50'nin \u00fczerine \u00e7\u0131kar.<\/p>\n<p>SOFA skoru, modern sepsis tan\u0131m\u0131n\u0131n da merkezinde yer al\u0131r. Sepsis-3 \u00f6l\u00e7\u00fctlerine g\u00f6re (2016) \u015f\u00fcpheli bir enfeksiyonla birlikte SOFA puan\u0131n\u0131n ba\u015flang\u0131\u00e7 de\u011ferine g\u00f6re akut olarak 2 veya daha fazla puan artmas\u0131 sepsis varl\u0131\u011f\u0131na i\u015faret eder; septik \u015fok ise yeterli s\u0131v\u0131 res\u00fcsitasyonuna ra\u011fmen vazopress\u00f6r gereksinimi ve 2 mmol\/L \u00fczeri laktat d\u00fczeyiyle tan\u0131mlan\u0131r. Yo\u011fun bak\u0131m d\u0131\u015f\u0131nda h\u0131zl\u0131 yatak ba\u015f\u0131 taramas\u0131 i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/qsofa-skor-hesaplayici\/\">qSOFA skoru<\/a> yaln\u0131zca SOFA bile\u015fenlerinden \u00fc\u00e7\u00fcn\u00fc kullan\u0131r; daha eski <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/sirs-kriterleri-hesaplayici\/\">SIRS \u00f6l\u00e7\u00fctleri<\/a> ise alternatif bir tarama tetikleyicisi olmaya devam eder.<\/p>\n<h2>S\u0131n\u0131rl\u0131l\u0131klar ve pratik ipu\u00e7lar\u0131<\/h2>\n<ul>\n<li>SOFA skoru yo\u011fun bak\u0131m hastalar\u0131 i\u00e7in geli\u015ftirilmi\u015ftir. Genel servis hastalar\u0131na uyguland\u0131\u011f\u0131nda riski oldu\u011fundan d\u00fc\u015f\u00fck g\u00f6sterebilir; \u00e7\u00fcnk\u00fc bu hastalar\u0131n \u00e7o\u011fu serviste hi\u00e7 \u00f6l\u00e7\u00fclebilir organ disfonksiyonu geli\u015ftirmez.<\/li>\n<li>Skor mevcut organ i\u015flevini tan\u0131mlar, bireyin prognostik de\u011ferlendirmesini de\u011fil. Skor aral\u0131klar\u0131na ba\u011fl\u0131 mortalite rakamlar\u0131 g\u00f6zlemsel \u00e7al\u0131\u015fmalardan gelen pop\u00fclasyon ortalamalar\u0131d\u0131r; ki\u015fiye \u00f6zel tahmin de\u011fildir.<\/li>\n<li>Sepsis tan\u0131s\u0131nda hastan\u0131n ba\u015flang\u0131\u00e7 de\u011ferine g\u00f6re de\u011fi\u015fim (\u0394SOFA), tek bir mutlak de\u011ferden daha \u00f6nemlidir. Ba\u015flang\u0131\u00e7 de\u011feri bilinmiyorsa, toplum kaynakl\u0131 hastalarda ba\u015flang\u0131\u00e7 de\u011ferinin 0 oldu\u011fu varsay\u0131l\u0131r.<\/li>\n<li>B\u00f6brek alt skoru kreatinin ve idrar \u00e7\u0131k\u0131\u015f\u0131 \u00f6l\u00e7\u00fctlerinden k\u00f6t\u00fc olan\u0131 ald\u0131\u011f\u0131ndan, kreatinin yaln\u0131zca hafif y\u00fckselmi\u015f olsa bile d\u00fc\u015f\u00fck idrar \u00e7\u0131k\u0131\u015f\u0131 skoru y\u00fckseltebilir.<\/li>\n<li>Solunumda 3\u20134 puan almak bi\u00e7imsel olarak solunum deste\u011fi (mekanik ventilasyon veya noninvaziv ventilasyon) gerektirir; hesaplay\u0131c\u0131, solunum deste\u011fi i\u015faretlenmemi\u015fken PaO\u2082\/FiO\u2082 oran\u0131 200'nin alt\u0131na d\u00fc\u015ft\u00fc\u011f\u00fcnde bir not g\u00f6sterir.<\/li>\n<li>kPa veya \u00b5mol\/L cinsinden girilen de\u011ferler, standart \u00e7arpanlarla dahili olarak mmHg ve mg\/dL'ye d\u00f6n\u00fc\u015ft\u00fcr\u00fcl\u00fcr (1 kPa = 7,50062 mmHg; bilir\u00fcbin i\u00e7in \u00b5mol\/L \u00f7 17,104; kreatinin i\u00e7in \u00b5mol\/L \u00f7 88,4).<\/li>\n<li>\u0130lgili ara\u00e7lar: sirozda karaci\u011fere \u00f6zg\u00fc a\u011f\u0131rl\u0131k i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/child-pugh-skoru-hesaplama\/\">Child-Pugh skoruna<\/a>, b\u00f6brek i\u015flevinin de\u011ferlendirilmesi i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/egfr-hesaplama-ckd-epi-2021\/\">eGFR hesaplay\u0131c\u0131s\u0131na (CKD-EPI 2021)<\/a> bakabilirsiniz.<\/li>\n<li>Bu hesaplay\u0131c\u0131 yaln\u0131zca bilgi ama\u00e7l\u0131d\u0131r; hekimin klinik de\u011ferlendirmesinin veya t\u0131bbi tan\u0131n\u0131n yerine ge\u00e7mez.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>SOFA skorunu PaO\u2082\/FiO\u2082, trombosit, bilir\u00fcbin, kan bas\u0131nc\u0131 deste\u011fi, GKS, kreatinin ve idrar \u00e7\u0131k\u0131\u015f\u0131ndan hesaplay\u0131n. Laboratuvar de\u011ferlerinizi ve vazopress\u00f6r kategorinizi girin; toplam skoru ve organ baz\u0131nda d\u00f6k\u00fcm\u00fcn\u00fc g\u00f6r\u00fcn.<\/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-4069","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/4069","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=4069"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/4069\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=4069"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=4069"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=4069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}