Intra-abdominal hypertension in the ICU - a prospective epidemiological study
| Autor: | G. Arabadzhiev, Katya Peeva, Valentina Tzaneva |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Abdominal compartment syndrome business.industry Significant difference Population General Medicine medicine.disease University hospital intra-abdominal hypertension Surgery abdominal compartment syndrome intra-abdominal pressure Emergency medicine Epidemiology Medicine Intra-Abdominal Hypertension Elective surgery business education Prospective cohort study Original Research |
| Zdroj: | Clujul Medical |
| ISSN: | 1222-2119 |
| Popis: | The aim of this prospective study is to examine the frequency and the severity of intra-abdominal hypertension in a mixed ICU of the University hospital.Methods: A closed system for intravesical intermittent measurement of IAP was constructed.Results: The frequency and the severity of IAH were examined in the period from June 2009 to December 2012 in 240 ICU patients divided into 3 groups (patients submitted to elective surgery, emergency surgery, and medical patients) in the University Hospital. In the elective surgery group there was 12.5% IAH, while in the emergency group IAH was 43.75%, and in the medical patients it was 42.5%. There was no statistical significant difference in the frequency of IAH among the mixed population of patients we examined and those studied by other authors with the same type of population.Conclusions. The standardized measurement of intra-abdominal pressure is fundamental for defining intra-abdominal hypertension and abdominal compartment syndrome. The measurement of intra-abdominal pressure should be a part of the basic monitoring of patients at risk of intra-abdominal hypertension. Our point of view is that before there are indications for a surgical decompression, less invasive treatment options should be optimized. |
| Databáze: | OpenAIRE |
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