Friday, December 16, 2005

Saturday December 17, 2005
What is SHARF score ?

SHARF stands for "Stuivenberg Hospital Acute Renal Failure" (from Stuivenberg General Hospital, Antwerp, Belgium). This is a prognostic scoring system for hospital mortality of individual patients with acute renal failure - ARF. It is considered to be very predictable.

Score is calculated at the time of diagnosis of ARF (SHARF T0) and the other at 48 hours later (SHARF T48). It is a complicated formula with age, albumin, prothrombin time, ventilator support, heart failure. In modified formula sepsis, hypotension and bilirubin has also been added. To compound it you have to compute age in decades, albumin and Prothrombin time according to category table and other parameters as present or absent. Probably due to its complication it never get popular. Our objective is to make intensivists be aware of its presence in literature.

Click to see
formulae and category table.

References: Click to get abstract/article
Prognostic value of a new scoring system for hospital mortality in acute renal failure - via pubmed - Clin Nephrol. 2000 Jan;53(1):10-7.
Re-evaluation and modification of the Stuivenberg Hospital Acute Renal Failure (SHARF) scoring system for the prognosis of acute renal failure: an independent multicentre, prospective study - Nephrology Dialysis Transplantation 2004 19(9):2282-2288
Interim results of the SHARF4 study: outcome of acute renal failure with different treatment modalities - Critical Care 2004, 8(Suppl 1):P153