Skip to main content

Table 1 Lausanne Intestinal Failure Estimation (LIFE) based on the SOFA model including symptoms and continuous signs compared with the variables of Reintam and colleagues

From: Gastrointestinal failure score in critically ill patients

Variable

Score 0

Score 1

Score 2

Score 3

Score 4

Reintam and colleagues [1]

Normal function

EN <50% of needs of no EN at day 3

EN intolerance (residues) or IAH

EN intolerance and IAH

Abdominal compartment syndrome

IAH (mmHg)

<12

12 to 15

15 to 20

20 to 25

>25

Lactate with pH <7.25 (mmol/l)

<2

2.0 to 3.0

3.0 to 4.0

4.0 to 5.0

>5.0

Gastric residue every 6 hours (ml)

<100

200 to 300

>300

>400 or vomiting regurgitation

-

Progression of feed by day of EN

Normal

 

<60% of needs by day 3

 

<60% of target by day 4

Constipation (stools over time)

One per 1 to 3 days

Zero in 4 days

Zero in 5 days, bloating

Abdominal distension

Ogilvie syndrome

Diarrheaa(number per day)

-

-

4 to 6

6 to 10

>10

Bowel sounds

Normal

Silence

-

Tympanic

-

  1. The different items should be considered separately as relevant for the patient's condition, the highest (that is, worst) value being the gut score. EN, enteral nutrition; IAH, intra-abdominal pressure; SOFA = Sequential Organ Failure Assessment. aLiquid stool occurring at least four times per day.