Table 2.
Grade | Organ system | Example |
---|---|---|
1 | Cardiac | Arrhythmia cardioconverting with electrolytes |
Respiratory | Fluid overload requiring diuretics | |
Neurological | Mild delirium, self-limiting | |
Gastrointestinal | Drug-related diarrhoea | |
Renal | Mild acute renal failure (not requiring treatment) | |
2 | Cardiac | Atrial fibrillation requiring ß-blockade/digoxin |
Respiratory | Pneumonia needing antibiotics and/or oxygen | |
Neurological | Transient ischaemic attack | |
Gastrointestinal | Ileus needing nasogastric/further treatment | |
Renal | Urinary tract infection needing antibiotics | |
3a | Cardiac | Bradyarrhythmia needing pacing wire |
Respiratory | Effusion needing chest drain | |
Neurological | Extra/subdural haematoma needing evacuation | |
Gastrointestinal | Pseudo-obstruction needing flatus tube | |
Renal | ||
3b | Cardiac | Tachyarrhythmia needing direct current cardioversion |
Respiratory | Bronchopleural fistula post thoracic surgery | |
Neurological | Extra/subdural haematoma needing evacuation | |
Gastrointestinal | Anastomic leakage needing surgery | |
Renal | Stenosis of ureters after transplantation | |
4a | Cardiac | Heart failure requiring ionotropes |
Respiratory | Pneumonia needing intubation | |
Neurological | Cerebrovascular accident/haemorrhage | |
Gastrointestinal | Pancreatitis | |
Renal | Acute renal failure | |
4b | Any combination of the above |
Adapted from [11].