| Incidence, risk factors and outcome associations of intra-abdominal hypertension in critically ill patients. | |
| | |
MedLine Citation:
|
PMID: 22313065 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are significantly associated with morbidity and mortality. We performed a prospective observational study and applied recently published consensus criteria to measure and describe the incidence of IAH and ACS, identify risk factors for their development and define their association with outcomes. We studied 100 consecutive patients admitted to our general intensive care unit. We recorded relevant demographic, clinical data and maximal (max) and mean intra-abdominal pressure (IAP). We measured and defined IAH and ACS using consensus guidelines. Of our study patients, 42% (by IAPmax) and 38% (by IAPmean) had IAH. Patients with IAH had greater mean body mass index (30.4±9.6 vs 25.4±5.6 kg/m(2), P=0.005), Acute Physiology and Chronic Health Evaluation III score (78.2±28.5 vs 65.5±29.2, P=0.03) and central venous pressure (12.8±4.8 vs 9.2±3.5 mmHg, P <0.001), lower abdominal perfusion pressure (67.6±13.5 vs 79.3±17.3 mmHg, P <0.001) and lower filtration gradient (51.2±14.8 vs 71.6±17.7 mmHg; P <0.001). Risk factors associated with IAH were body mass index =30 (P <0.001), higher central venous pressure (P <0.001), presence of abdominal infection (P=0.005) and presence of sepsis on admission (P=0.035). Abdominal compartment syndrome developed in 4% of patients. IAP was not associated with an increased risk of mortality after adjusting for other confounders. We conclude that, in a general population of critically ill patients, using consensus guidelines, IAH was common and significantly associated with obesity and sepsis on admission. In a minority of patients, IAH was associated with abdominal compartment syndrome. In this cohort IAH was not associated with an increased risk of mortality. |
| | |
Authors:
|
In Byung Kim; John Prowle; Ian Baldwin; Rinaldo Bellomo |
Related Documents
:
|
15709355 - The 30 degree tilt position vs the 90 degree lateral and supine positions in reducing t... 3140385 - Cardiopulmonary effects of the head-down tilt position in elderly postoperative patient... 11537605 - Cardiac factors in orthostatic hypotension. 9430805 - Efficacy of compression of different capacitance beds in the amelioration of orthostati... 1391265 - Lung mechanics (frc and static pressure-volume diagram) after endotracheal surfactant i... 15461585 - Measurement of critical lower limb tissue hypoxia by coupling chemical and optical tech... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Anaesthesia and intensive care Volume: 40 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2012 Jan |
Date Detail:
|
Created Date: 2012-02-08 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
|
Languages: eng Pagination: 79-89 Citation Subset: IM |
Affiliation:
|
Intensive Care Unit, Austin Health, Austin Hospital, Melbourne, Victoria, Australia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Laptops and smartphones in the operating theatre - how does our knowledge of vigilance, multi-taskin...
Next Document: Emergency surgery in the elderly: a retrospective observational study.