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 | - |