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Viewing report
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Gastrointestinal Failure in Intensive Care Patients. Edition No. 1
VDM Publishing House, Jan 2009, Pages: 100
Present dissertation is focused on evaluation of
gastrointestinal
function in intensive care patients. The definitions,
incidence and
impact of gastrointestinal failure are addressed.
Development of GI
symptoms is associated with increased mortality and
prolonged
ICU stay. The most remarkable raise in risk of death
may be
observed in
elective cardiosurgical patients. Similar to clinical
symptoms, the
incidence of intra-abdominal hypertension (IAH) is
high in mixed
ICU population. Monitoring the only the presumable
risk population
may result in missing part of the actual IAH
patients. The patients
with IAH have higher ICU- and 90-day mortality.
Secondary IAH
has worse outcome than primary IAH.
The scoring system for GIF based on combined
evaluation of
successfulness of enteral feeding and presence of
intra-abdominal
hypertension is developed. Proposed GIF score has
high prognostic
value in prediction of ICU mortality in single centre
prospective
study. Gastrointestinal failure assessed with GIF
score is highly
important among other organ failures in ICU.
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