The Correlation of Intraabdominal Pressure With Renal Resistive Index
| Autor: | Harun Karabacak, Kerim Bora Yilmaz, Ismail Kaya, Yeliz Candan, Onder Eraslan, Melih Akinci, Halil Ibrahim Dural, Idil Gunes Tatar |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Foley catheter Kidney Spearman's rank correlation coefficient Inferior vena cava Renal Circulation Correlation 03 medical and health sciences 0302 clinical medicine medicine Humans Aged Retrospective Studies Univariate analysis business.industry Abdominal Cavity Ultrasonography Doppler Middle Aged Resistive index medicine.vein 030220 oncology & carcinogenesis Intraabdominal pressure Female Vascular Resistance 030211 gastroenterology & hepatology Surgery Intra-Abdominal Hypertension business Nuclear medicine Surgical patients |
| Zdroj: | Journal of Surgical Research. 252:240-246 |
| ISSN: | 0022-4804 |
| Popis: | To evaluate the correlation between intraabdominal pressure (IAP) measured via the bladder and renal resistive index (RRI) measured by Doppler ultrasonography (USG).Eighty consecutive surgical patients were included into this study. Before Doppler USG evaluation, IAP was measured by a Foley catheter via the bladder. The left and right RRI, the diameters of the inferior vena cava and portal vein were measured by colored Doppler USG. Spearman correlation analysis was used to evaluate the correlation between different measurements. Intraabdominal hypertension (IAH) was defined as of IAP ≥ 12 mmHg. Significantly different variables from the univariate analysis between patients with and without IAH were entered into backward stepwise binary logistic regression analysis of IAH as the dependent variable. P values 0.05 were accepted as statistically significant.In total, 80 patients were included into study. In 27 patients (34%) IAP was normal and in 53 patients (66%) IAH was diagnosed. The Spearman correlation analysis of IAP and the ultrasonographic measurements revealed a strong correlation between RRI and IAP (P 0.001). Patients with IAH were more likely to be diabetic and had abdominal incisional hernia compared with patients with normal IAP (P 0.05). The results of the multivariate logistic regression analysis revealed right RRI as the only independent predictor of IAH (B: 57.04, S. E.: 13.7, P 0.001).There is a strong correlation between IAP and RRI. RRI can be an alternative, noninvasive technique for the diagnosis and follow-up of IAH after further evaluations in different patient groups. |
| Databáze: | OpenAIRE |
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