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Interpreting the Gastrointestinal Dysfunction Score in Clinical Practice

  • By

  • Qingdong Jia

  • Minjie Yuan

  • Shuyi Chen

  • Kapungo Faith

  • Caibao Hu

  • November 4, 2026

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  • 1

    In 2679 ICU patients, higher Gastrointestinal Dysfunction Score values were associated with 28- and 90-day mortality, ICU-free days, and parenteral nutrition use.

  • 2

    Intra-abdominal pressure and gastric residual volume were often unmeasured, and unmeasured components were classified as normal.

  • 3

    Because measurement opportunities varied with illness severity and admission type, identical scores may reflect different clinical information.

  • 4

    Sensitivity analyses supported the mortality association, but did not establish that scores have equivalent bedside meaning across measurement contexts.

  • 5

    The score is a pragmatic, outcome-associated composite; whether GIDS-directed treatment changes improve outcomes remains unestablished.

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