A prospective study of outcome in patients with intra-abdominal hypertension

Autor:	Meghna Sharma, Jasmaan Singh, Kapil Rampal, Devendra K. Prajapati, Parampreet Singh, Harinder Singh
Rok vydání:	2021
Předmět:	medicine.medical_specialty business.industry Internal medicine Medicine In patient Intra-Abdominal Hypertension business Prospective cohort study Outcome (game theory)
Zdroj:	International Surgery Journal. 8:2737
ISSN:	2349-2902 2349-3305
Popis:	Background: Intra-abdominal hypertension (IAH) and Abdominal compartment syndrome (ACS) is increasingly recognized in critically ill patients, and the deleterious effects of increased intra-abdominal pressure (IAP) are well documented. It is known to affect almost all the system in the body, but mainly the renal, cardiovascular and pulmonary systems. The purpose of this study is to prospectively observe the outcome of IHP in patients admitted in ICU, acute surgical and emergency wards over three years and give our recommendations based on the outcome in such patients.Methods: We measured intravesical pressure using simple manometry to measure IAP.Results: We observed cardiac dysfunction in 16.30%, renal dysfunction in 10.86%, respiratory dysfunction in 21.74% and mortality of 15.2%. Significant mortality was associated with IAH grade II (55.6%) and grade III (100%).Conclusions: Due to the contribution towards mortality and common occurrence we suggest that intra-abdominal pressure be measured in ICU conditions.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::7c7b57e4c17014ba4ded962a30ccea0c https://doi.org/10.18203/2349-2902.isj20213605 Zobrazit plný text záznamu