The Postoperative Ileus Screening Tool can be used to identify patients with ileus occurring after surgery.
Criteria:
(1) nausea and vomiting
(2) failure to advance diet
(3) lack of bowel sounds
(4) abdominal distention
(5) increased length of stay
(6) abdominal X-ray evidence of ileus
Criteria
Finding
Points
nausea and vomiting occurring > 24 hours postoperatively
no
0
yes
1
unable to tolerate advancement of diet after 36 hours postoperatively
documented lack of bowel sounds > 36 hours postoperatively
marked abdominal distention
length of stay extended by > 1 day beyond average (excluding social and/or placement problems)
confirmed abdominal X-ray of an ileus
2
from Table 1, page 5
screening score =
= SUM(points for the 6 criteria)
Interpretation:
• minimum score: 0
• maximum score: 7
• A score >= 2 points indicates the presence of postoperative ileus.
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Purpose: To identify patients with postoperative ileus using a clinical screening tool.
Specialty: Gastroenterology, Surgery, orthopedic, Surgery, general
Objective: severity, prognosis, stage, complications
ICD-10: K31.5, K56, P75,
