Table 1.
Algorithm component | New York modela | Modified Colorado model | Raw SOFA score model |
---|---|---|---|
SOFA priority points | SOFA < 7: 1 point | SOFA < 6: 1 point | SOFA 1: 1 point |
SOFA 8–11: 2 points | SOFA 6-9: 2 points | SOFA 2: 2 points | |
SOFA > 11: 3 points | SOFA 10–12: 3 points | SOFA 3: 3 points | |
SOFA > 12: 4 points | SOFA score = priority points | ||
Comorbidities priority points | None | Modified Charlson Comorbidity Indexb | None |
Priority score calculation | SOFA score | SOFA prioritization + Charlson Comorbidity Index Score | SOFA score |
Priority grouping based on priority score | High priority: 1 | None | None |
Intermediate priority: 2 | |||
Low priority: 3 | |||
Tie breakers | 1st tie breaker: children | 1st tie breaker: children, health care workers, and/or first responders | 1st tie breaker: age |
2nd tie breaker: life cycle (age)c, pregnancy, and/or sole caretakers for elderly | |||
2nd tie breaker: lottery | 3rd tie breaker: lottery | 2nd tie breaker: lottery |
The New York Algorithm exclusion criteria include the following: (1) unwitnessed cardiac arrest, recurrent arrest without hemodynamic stability, arrest unresponsive to standard interventions and measures; trauma-related arrest; (2) irreversible age-specific hypotension unresponsive to fluid resuscitation and vasopressor therapy; (3) traumatic brain injury with no motor response to painful stimulus (i.e., best motor response = 1); (4) severe burns where predicted survival is ≤10% even with unlimited aggressive therapy; and (5) any other conditions resulting in immediate or near-immediate mortality even with aggressive therapy. None of the patients in this cohort fell into this exclusion criteria.
Original and modified Comorbidity Index provided in Table S3.
Life cycle groupings (age, years) for Colorado also used for Raw SOFA model: 0–49 = 1 (highest priority), 50–59 = 2, 60–69 = 3, 70–79 = 4, and 80+ = 5 (lowest priority).