Table 1 |
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Lausanne Intestinal Failure Estimation (LIFE) based on the SOFA model including symptoms and continuous signs compared with the variables of Reintam and colleagues |
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| Variable |
Score 0 |
Score 1 |
Score 2 |
Score 3 |
Score 4 |
|
|
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| 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 |
|
|
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| 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 |
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| 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 |
- |
|
|
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|
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. |
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|
Berger et al. Critical Care 2008 12:436 doi:10.1186/cc7120 |
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