Ileus
I am building a query as I believe we are over-reporting expected slow return of bowel function after some surgeries as post-op ileus. This can lead to false data and issues for surgeon report cards.
As part of the query, I wish to reference NSQIP Criteria.
This is what I have so far...
I am asking if anyone can provide a more current definition that what I have referenced? Is this the current definition others use and does this match any description offered by NSQIP? I consolidated the definition I was able to find, but I am not sure if this is current?
Definitions
NSQIP Definition- Prolonged Postoperative Ileus: Patient with an ileus managed with a nasogastric tube and/or the patient is NPO for ≥ postoperative day 3.
Note: The patient must be on strict NPO status (NPO w/ ice chips or sips does not count)
Postoperative Ileus - Although ileus has numerous causes, the postoperative state is the most common setting for the development of ileus. Indeed, ileus is an expected consequence of abdominal surgery. Physiologic ileus spontaneously resolves within 2-3 days, after sigmoid motility returns to normal. Ileus that persists for more than 3 days following surgery is termed postoperative adynamic ileus or paralytic ileus. (Livingston EH, Passaro EP Jr. Postoperative ileus. Dig Dis Sci. Jan 1990;35(1):121-32. [Medline].)
Paul Evans, RHIA, CCDS
As part of the query, I wish to reference NSQIP Criteria.
This is what I have so far...
I am asking if anyone can provide a more current definition that what I have referenced? Is this the current definition others use and does this match any description offered by NSQIP? I consolidated the definition I was able to find, but I am not sure if this is current?
Definitions
NSQIP Definition- Prolonged Postoperative Ileus: Patient with an ileus managed with a nasogastric tube and/or the patient is NPO for ≥ postoperative day 3.
Note: The patient must be on strict NPO status (NPO w/ ice chips or sips does not count)
Postoperative Ileus - Although ileus has numerous causes, the postoperative state is the most common setting for the development of ileus. Indeed, ileus is an expected consequence of abdominal surgery. Physiologic ileus spontaneously resolves within 2-3 days, after sigmoid motility returns to normal. Ileus that persists for more than 3 days following surgery is termed postoperative adynamic ileus or paralytic ileus. (Livingston EH, Passaro EP Jr. Postoperative ileus. Dig Dis Sci. Jan 1990;35(1):121-32. [Medline].)
Paul Evans, RHIA, CCDS