Blaser et al reported the Gastrointestinal Dysfunction Score (GIDS) for evaluating gastrointestinal function in a critically-ill patient. The authors are from multiple institutions in Europe and Argentina.
Patient selection: critically-ill adult
Parameters:
(1) bowel sounds
(2) vomiting
(3) gastric residual volume (GRV) in mL
(4) GI paralysis or dynamic ileus
(5) abdominal distension
(6) diarrhea
(7) gastrointestinal bleeding
(8) intra-abdominal pressure in mm Hg
(9) oral intake
(10) mesenteric ischemia
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GI Dysfunction
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Grade
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no risk of GI dysfunction
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0
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increased risk for GI dysfunction
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1
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GI dysfunction present
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2
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GI failure
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3
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life-threatening GI dysfunction
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4
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Grade 4: one or more of the following:
(7) GI bleeding with hemorrhagic shock
(10) mesenteric ischemia
(8) abdominal compartment syndrome
Grade 3: 3 or more of the following:
(4) prokinetic use
(4) GI paralysis or dynamic ileus
(5) abdominal distension
(6) severe diarrhea
(7) GI bleeding requiring transfusion
(8) intra-abdominal pressure > 20 mm Hg
Grade 2: 1 or 2 of the following
(6) severe diarrhea
(7) GI bleeding requiring transfusion
(8) intra-abdominal pressure > 20 mm Hg
Grade 2: 3 or more of the following:
(9) no oral intake
(1) absent bowel sounds
(2) vomiting
(3) gastric residual volume > 200 mL
(4) GI paralysis or dynamic ileus
(5) abdominal distension
(6) diarrhea, not severe
(7) GI bleeding not requiring transfusion
(8) intra-abdominal pressure 12 to 20 mm Hg
Grade 1: 2 of the following:
(9) no oral intake
(1) absent bowel sounds
(2) vomiting
(3) gastric residual volume > 200 mL
(4) GI paralysis or dynamic ileus
(5) abdominal distension
(6) diarrhea, not severe
(7) GI bleeding not requiring transfusion
(8) intra-abdominal pressure 12 to 20 mm Hg
Grade 0: 1 of the following with oral intake
(1) absent bowel sounds
(2) vomiting
(3) gastric residual volume > 200 mL
(4) GI paralysis or dynamic ileus
(5) abdominal distension
(6) diarrhea, not severe
(7) GI bleeding not requiring transfusion
(8) intra-abdominal pressure 12 to 20 mm Hg
Grade 0: none of the above and no symptoms
