Prospective study of the incidence and outcome of intra-abdominal hypertension and the abdominal compartment syndrome
| Autor: | Mark G. McKenney, John J Hong Md, Michele L Brown, Matthew Dolich, Stephen M. Cohn, Jose Perez |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Critical Care Abdominal compartment syndrome medicine.medical_treatment Compartment Syndromes Severity of Illness Index Risk Factors Laparotomy Severity of illness medicine Humans Prospective Studies Prospective cohort study Aged Aged 80 and over business.industry Organ dysfunction Middle Aged Prognosis medicine.disease Surgery medicine.anatomical_structure Hypertension Wounds and Injuries Abdomen Female Intra-Abdominal Hypertension medicine.symptom Complication business |
| Zdroj: | British Journal of Surgery. 89:591-596 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1046/j.1365-2168.2002.02072.x |
| Popis: | Background Intra-abdominal hypertension has been recognized as a source of morbidity and mortality in the traumatized patient following laparotomy. Multiple organ dysfunction attributable to intra-abdominal hypertension has been called the abdominal compartment syndrome. The epidemiology and characteristics of these processes remain poorly defined. Methods Intra-abdominal pressure was measured prospectively in all patients admitted to a trauma intensive care unit over 9 months. Data were gathered on all patients with intra-abdominal hypertension. Results Some 706 patients were evaluated. Fifteen (2 per cent) of 706 patients had intra-abdominal hypertension. Six of the 15 patients with intra-abdominal hypertension had abdominal compartment syndrome. Half of the patients with abdominal compartment syndrome died, as did two of the remaining nine patients with intra-abdominal hypertension. Patients with abdominal compartment syndrome had a mean intra-abdominal pressure of 42 mmHg compared with 26 mmHg in patients with intra-abdominal hypertension only (P < 0·05). Conclusion The incidence of intra-abdominal hypertension and abdominal compartment syndrome was 2 and 1 per cent respectively. Intra-abdominal hypertension did not necessarily lead to abdominal compartment syndrome, and often resolved without clinical sequelae. Abdominal compartment syndrome did not occur in the absence of earlier laparotomy. Abdominal compartment syndrome was associated with a marked increase in intra-abdominal pressure (above 40 mmHg). |
| Databáze: | OpenAIRE |
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