qSOFA / SOFA

Score quickSOFA and the full Sequential Organ Failure Assessment side by side per Sepsis-3 (Singer JAMA 2016; Vincent ICM 1996).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

qSOFA: RR >= 22/min
Yes
qSOFA: altered mental status
Yes
SOFA: respiration grade
1
SOFA: cardiovascular grade
1

Result: qSOFA 2 (high risk for poor outcome); SOFA 2.

The tool opens with these values already filled in. Replace them with your own.

What the result means

qSOFA >=2
Identifies higher risk of in-hospital mortality or prolonged ICU stay among patients with suspected infection.
qSOFA <2
Does not exclude sepsis; reassess if clinical concern persists.

What you enter

  • qSOFA: RR >= 22/min
  • qSOFA: altered mental status
  • qSOFA: SBP <= 100
  • SOFA: respiration grade
  • SOFA: coagulation grade
  • SOFA: liver grade
  • SOFA: cardiovascular grade
  • SOFA: CNS grade
  • SOFA: renal grade

What this is

qSOFA uses three bedside variables - altered mentation, respiratory rate >=22, and SBP <=100. Full SOFA scores six organ systems (respiratory, coagulation, liver, cardiovascular, CNS, renal) 0-4 each. Sophie Well returns both totals so a ward and ICU clinician can speak the same language about the same patient.

When to use it

Use qSOFA at the front door (ED triage, ward rapid-response) to flag a patient with suspected infection who is at high risk of a poor outcome (qSOFA >=2). Use the full SOFA in the ICU as the operational definition of sepsis-related organ dysfunction (an acute increase of >=2 points from baseline). Neither score is a sepsis-screening tool by itself; both presuppose a clinical suspicion of infection.

How this is calculated

Singer M, et al. Sepsis-3 (qSOFA). JAMA. 2016;315(8):801-810. Vincent JL, et al. SOFA. Intensive Care Med. 1996;22(7):707-710. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.