Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study

Autor: David Bihari, Bart De Keulenaer, Ronny Daelemans, Jonathan Cohen, Paolo Pelosi, Pierre Singer, Marco Ranieri, P. Cosimini, Nicola Brienza, Manu L N G Malbrain, Davide Chiumello, Pierre-François Laterre, Elizabeth Kurtop, Luciano Gattinoni, Vincenzo Malcangi, Monica Del Turco, Luc-Marie Jacquet, Alexander Wilmer, Richard Innes, André M. Japiassú
Přispěvatelé: Supporting clinical sciences, Intensive Care, MALBRAIN ML, CHIUMELLO D, PELOSI P, WILMER A, BRIENZA N, MALCANGI V, BIHARI D, INNES R, COHEN J, SINGER P, JAPIASSU A, KURTOP E, DE KEULENAER BL, DAELEMANS R, DEL TURCO M, COSIMINI P, RANIERI V, JACQUET L, LATERRE PF, GATTINONI L.
Rok vydání: 2004
Předmět:
medicine.medical_specialty
hypertension
Abdominal compartment syndrome
Population
Critical Care and Intensive Care Medicine
Trauma
Critically ill patients
Intensive care
IAH in critically ill patients. This study assessed the prevalence of IAH and its risk factors in a mixed population of intensive care patients. DESIGN: A multicentre
prospective 1-day point-prevalence epidemiological study conduct
Abdomen
Prevalence
medicine
Humans
Prospective Studies
Risk factor
Intensive care medicine
education
Body mass index
Aged
Medicine(all)
Intra-abdominal pressure
education.field_of_study
business.industry
Abdominal Infection
Middle Aged
medicine.disease
Intra-abdominal hypertension
Europe
Multicenter Study
Surgery
Intensive Care Units
Emergency medicine
SOFA score
Intra-Abdominal Hypertension
business
Abdominal surgery
Zdroj: Intensive Care Medicine. 30:822-829
ISSN: 1432-1238
0342-4642
Popis: OBJECTIVE: Although intra-abdominal hypertension (IAH) can cause dysfunction of several organs and raise mortality, little information is available on the incidence and risk factors for IAH in critically ill patients. This study assessed the prevalence of IAH and its risk factors in a mixed population of intensive care patients. DESIGN: A multicentre, prospective 1-day point-prevalence epidemiological study conducted in 13 ICUs of six countries. INTERVENTIONS: None. PATIENTS: Ninety-seven patients admitted for more than 24 h to one of the ICUs during the 1-day study period. METHODS: Intra-abdominal pressure (IAP) was measured four times (every 6 h) by the bladder pressure method. Data included the demographics, medical or surgical type of admission, SOFA score, etiological factors such as abdominal surgery, haemoperitoneum, abdominal infection, massive fluid resuscitation, and ileus and predisposing conditions such as hypothermia, acidosis, polytransfusion, coagulopathy, sepsis, liver dysfunction, pneumonia and bacteraemia. RESULTS: We enrolled 97 patients, mean age 64+/-15 years, 57 (59%) medical and 40 (41%) surgical admission, SOFA score of 6.5+/-4.0. Mean IAP was 9.8+/-4.7 mmHg. The prevalence of IAH (defined as IAP 12 mmHg or more) was 50.5 and 8.2% had abdominal compartment syndrome (defined as IAP 20 mmHg or more). The only risk factor significantly associated with IAH was the body mass index, while massive fluid resuscitation, renal and coagulation impairment were at limit of significance. CONCLUSION: Although we found a quite high prevalence of IAH, no risk factors were reliably associated with IAH; consequently, to get valid information about IAH, IAP needs to be measured.
Databáze: OpenAIRE
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