Gastrointestinal Failure score in critically ill patients: a prospective observational study

• DOI: 10.1186/cc6958
• Publication Date: 2008-07-15T06:14:20Z
• Authors: Annika Reintam; Pille Parm; Reet Kitus; Joel Starkopf; Hartmut Kern
• Keywords: SOFA score; Abdominal Compartment Syndrome; Gastrointestinal function; Enteral administration

There are no universally accepted diagnostic criteria for gastrointestinal failure in critically ill patients. In the present study we tested whether occurrence of food intolerance (FI) and intra-abdominal hypertension (IAH), combined a 5-grade scoring system assessment function (the Gastrointestinal Failure [GIF] score), predicts mortality. The prognostic value GIF score alone combination with Sequential Organ Assessment (SOFA) is evaluated, incidence outcome described relative to score.A total 264 subsequently hospitalized patients, who were mechanically ventilated on admission stayed intensive care unit (ICU) longer than 24 hours, prospectively studied. was documented daily as follows: 0 = normal function; 1 enteral feeding under 50% calculated needs or 3 days after abdominal surgery; 2 FI IAH; 4 compartment syndrome (ACS). Admission parameters mean SOFA scores first used predict ICU outcome.FI developed 58.3%, IAH 27.3%, both together 22.7% identified an independent risk factor mortality (odds ratio 3.02, 95% confidence interval 1.63 5.59; P < 0.001). integrated into allowed better prediction did alone, predictor 1.49, 1.28 1.74; development (FI plus IAH) associated significantly higher 90-day mortality.The useful classifying information system. during had high Development impaired outcome.